Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.20 / $496.20 / $496.20	Facility		$496.20	$496.20	$496.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.67 / $411.74 / $496.20	Professional		$353.67	$411.74	$496.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.31 / $1,052.31 / $1,052.31	Facility		$1,052.31	$1,052.31	$1,052.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $958.96 / $1,198.70	Professional		$758.37	$958.96	$1,198.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.20 / $597.70 / $969.06	Facility		$498.20	$597.70	$969.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $316.72 / $967.90	Professional		$269.20	$316.72	$967.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $681.18 / $967.90 / $1,173.06	Facility		$681.18	$967.90	$1,173.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $633.44 / $967.90 / $1,156.88	Professional		$633.44	$967.90	$1,156.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $754.85 / $1,271.80 / $1,450.16	Professional		$754.85	$1,271.80	$1,450.16
United Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $316.72 / $527.87	Professional		$221.71	$316.72	$527.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $527.87 / $527.87	Professional		$527.87	$527.87	$527.87