Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.18 / $487.18 / $487.18	Facility		$487.18	$487.18	$487.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.25 / $440.54 / $487.18	Professional		$347.25	$440.54	$487.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,033.38 / $1,033.38 / $1,033.38	Facility		$1,033.38	$1,033.38	$1,033.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.50 / $941.34 / $1,176.67	Professional		$728.50	$941.34	$1,176.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.15 / $586.85 / $951.47	Facility		$489.15	$586.85	$951.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.32 / $310.97 / $950.08	Professional		$264.32	$310.97	$950.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $621.94 / $673.76 / $1,135.84	Facility		$621.94	$673.76	$1,135.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $621.94 / $869.70 / $1,135.84	Professional		$621.94	$869.70	$1,135.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.14 / $1,248.69 / $1,423.82	Professional		$741.14	$1,248.69	$1,423.82
United Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $264.32 / $518.28	Professional		$217.68	$264.32	$518.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $518.28 / $518.28	Professional		$518.28	$518.28	$518.28