Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.35 / $457.35 / $457.35	Facility		$457.35	$457.35	$457.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.50 / $457.35 / $457.35	Professional		$379.50	$457.35	$457.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.00 / $883.89 / $1,104.85	Professional		$699.00	$883.89	$1,104.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $459.20 / $550.91 / $893.19	Facility		$459.20	$550.91	$893.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.14 / $291.92 / $957.51	Professional		$248.14	$291.92	$957.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $627.84 / $851.45 / $1,066.29	Facility		$627.84	$851.45	$1,066.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $583.85 / $739.54 / $1,002.27	Professional		$583.85	$739.54	$1,002.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $695.75 / $1,172.22 / $1,336.62	Professional		$695.75	$1,172.22	$1,336.62
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $291.92 / $486.54	Professional		$204.35	$291.92	$486.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $486.54 / $486.54	Professional		$486.54	$486.54	$486.54