Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $489.78 / $489.78	Facility		$302.00	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $512.86	Professional		$288.40	$323.59	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,023.29	Professional		$602.56	$812.83	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $776.25	Facility		$407.38	$407.38	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $2,137.96	Professional		$218.78	$257.04	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,174.90	Professional		$616.60	$1,000.00	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $489.78	Professional		$177.83	$257.04	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58