Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.80 / $488.80 / $488.80	Facility		$488.80	$488.80	$488.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.40 / $405.60 / $488.80	Professional		$348.40	$405.60	$488.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.65 / $1,036.65 / $1,036.65	Facility		$1,036.65	$1,036.65	$1,036.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.01 / $944.60 / $1,180.75	Professional		$747.01	$944.60	$1,180.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $498.21 / $826.07	Facility		$0.02	$498.21	$826.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.20 / $312.00 / $953.47	Professional		$265.20	$312.00	$953.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $671.02 / $953.47 / $1,155.58	Facility		$671.02	$953.47	$1,155.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $953.47 / $1,139.61	Professional		$624.00	$953.47	$1,139.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $1,252.83 / $1,428.54	Professional		$743.60	$1,252.83	$1,428.54
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $265.20 / $780.00	Professional		$218.40	$265.20	$780.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $520.00 / $520.00	Professional		$520.00	$520.00	$520.00