Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.60 / $413.60 / $413.60	Facility		$413.60	$413.60	$413.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.80 / $343.20 / $413.60	Professional		$294.80	$343.20	$413.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.36 / $877.36 / $877.36	Facility		$877.36	$877.36	$877.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.89 / $799.03 / $998.78	Professional		$631.89	$799.03	$998.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.65 / $491.05 / $698.98	Facility		$207.65	$491.05	$698.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $264.00 / $806.78	Professional		$90.62	$264.00	$806.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $361.87 / $572.00 / $964.29	Facility		$361.87	$572.00	$964.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $371.07 / $567.79 / $906.40	Professional		$371.07	$567.79	$906.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $352.52 / $1,027.44 / $1,208.77	Professional		$352.52	$1,027.44	$1,208.77
United Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $184.80 / $396.00	Professional		$90.62	$184.80	$396.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $440.00	Professional		$440.00	$440.00	$440.00