Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.53 / $508.53 / $508.53	Facility		$508.53	$508.53	$508.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.46 / $508.53 / $508.53	Professional		$362.46	$508.53	$508.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,078.43 / $1,078.43 / $1,078.43	Facility		$1,078.43	$1,078.43	$1,078.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.78 / $982.46 / $1,228.08	Professional		$627.78	$982.46	$1,228.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $510.58 / $612.55 / $2,569.69	Facility		$510.58	$612.55	$2,569.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $486.89 / $811.49	Professional		$275.89	$486.89	$811.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $649.19 / $989.33 / $1,058.60	Facility		$649.19	$989.33	$1,058.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $649.72 / $1,058.60 / $1,411.98	Professional		$649.72	$1,058.60	$1,411.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $540.99 / $1,303.41 / $1,486.21	Professional		$540.99	$1,303.41	$1,486.21
United Facility/Professional Professional Modifier Low / Median / High Price $227.22 / $324.58 / $811.49	Professional		$227.22	$324.58	$811.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $540.99 / $540.99 / $540.99	Professional		$540.99	$540.99	$540.99