Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.76 / $473.76 / $473.76	Facility		$473.76	$473.76	$473.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.68 / $393.12 / $473.76	Professional		$337.68	$393.12	$473.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,004.66 / $1,004.66 / $1,004.66	Facility		$1,004.66	$1,004.66	$1,004.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.03 / $915.23 / $1,144.03	Professional		$579.03	$915.23	$1,144.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $475.68 / $2,394.00	Facility		$0.02	$475.68	$2,394.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $453.60 / $924.12	Professional		$257.04	$453.60	$924.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $650.38 / $924.12 / $1,120.03	Facility		$650.38	$924.12	$1,120.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $604.79 / $924.12 / $1,315.44	Professional		$604.79	$924.12	$1,315.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $720.72 / $1,214.29 / $1,384.59	Professional		$720.72	$1,214.29	$1,384.59
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $302.39 / $604.79	Professional		$211.68	$302.39	$604.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $504.00	Professional		$504.00	$504.00	$504.00