Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.06 / $469.06 / $469.06	Facility		$469.06	$469.06	$469.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.33 / $469.06 / $546.44	Professional		$334.33	$469.06	$546.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $994.87 / $994.87 / $994.87	Facility		$994.87	$994.87	$994.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.07 / $906.74 / $1,133.42	Professional		$717.07	$906.74	$1,133.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $470.96 / $565.02 / $1,683.00	Facility		$470.96	$565.02	$1,683.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.49 / $299.39 / $914.96	Professional		$254.49	$299.39	$914.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $643.91 / $914.96 / $1,108.92	Facility		$643.91	$914.96	$1,108.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $598.79 / $914.96 / $1,093.59	Professional		$598.79	$914.96	$1,093.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $713.57 / $1,202.24 / $1,370.85	Professional		$713.57	$1,202.24	$1,370.85
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $254.49 / $499.00	Professional		$209.58	$254.49	$499.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $499.00 / $499.00	Professional		$499.00	$499.00	$499.00