Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.29 / $602.29 / $602.29	Facility		$602.29	$602.29	$602.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.29 / $602.29 / $602.29	Professional		$429.29	$602.29	$602.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.63 / $668.63 / $835.78	Professional		$668.63	$668.63	$835.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $604.72 / $725.50 / $3,043.47	Facility		$604.72	$725.50	$3,043.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $576.66 / $961.10	Professional		$326.77	$576.66	$961.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $768.88 / $1,121.28 / $1,398.87	Facility		$768.88	$1,121.28	$1,398.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $768.88 / $1,121.28 / $1,404.21	Professional		$768.88	$1,121.28	$1,404.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $640.73 / $1,543.71 / $1,760.21	Professional		$640.73	$1,543.71	$1,760.21
United Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $384.44 / $640.73	Professional		$269.11	$384.44	$640.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $640.73 / $640.73 / $640.73	Professional		$640.73	$640.73	$640.73