Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.34 / $459.34 / $459.34	Facility		$459.34	$459.34	$459.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.39 / $381.15 / $459.34	Professional		$327.39	$381.15	$459.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $973.98 / $973.98 / $973.98	Facility		$973.98	$973.98	$973.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.07 / $887.81 / $1,109.76	Professional		$687.07	$887.81	$1,109.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $468.18 / $755.49 / $955.81	Facility		$468.18	$755.49	$955.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $293.20 / $439.79 / $4,017.97	Professional		$293.20	$439.79	$4,017.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $630.58 / $1,070.94 / $1,531.95	Facility		$630.58	$1,070.94	$1,531.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $586.39 / $995.55 / $1,399.94	Professional		$586.39	$995.55	$1,399.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $797.98 / $1,177.33 / $1,342.45	Professional		$797.98	$1,177.33	$1,342.45
United Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $341.86 / $682.72	Professional		$205.24	$341.86	$682.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $488.66 / $488.66 / $488.66	Professional		$488.66	$488.66	$488.66