Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $446.68	Facility		$389.05	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $446.68	Professional		$177.83	$316.23	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $457.09	Facility		$251.19	$251.19	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $776.25	Professional		$630.96	$630.96	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $1,412.54	Facility		$323.59	$524.81	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $2,630.27	Professional		$199.53	$309.03	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $446.68	Professional		$371.54	$446.68	$446.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $954.99	Professional		$371.54	$371.54	$954.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $707.95	Professional		$446.68	$537.03	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $549.54	Professional		$199.53	$302.00	$549.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11