Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.77 / $391.77 / $391.77	Facility		$391.77	$391.77	$391.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.24 / $325.08 / $391.77	Professional		$279.24	$325.08	$391.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.33 / $756.60 / $945.74	Professional		$598.33	$756.60	$945.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $393.35 / $471.92 / $765.12	Facility		$393.35	$471.92	$765.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.56 / $250.07 / $820.23	Professional		$212.56	$250.07	$820.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $700.60 / $820.23	Facility		$500.14	$700.60	$820.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $500.14 / $788.64 / $820.23	Professional		$500.14	$788.64	$820.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $596.00 / $1,004.15 / $1,144.98	Professional		$596.00	$1,004.15	$1,144.98
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $212.56 / $416.78	Professional		$175.05	$212.56	$416.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78