Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.07 / $738.07 / $738.07	Facility		$738.07	$738.07	$738.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.60 / $627.36 / $771.87	Professional		$612.60	$627.36	$771.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.41 / $1,003.00 / $1,253.75	Facility		$830.41	$1,003.00	$1,253.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.25 / $752.25 / $940.31	Professional		$752.25	$752.25	$940.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $664.26 / $997.88 / $1,247.33	Facility		$664.26	$997.88	$1,247.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $2,646.17	Professional		$615.05	$615.05	$2,646.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $990.34 / $1,445.53 / $2,765.46	Facility		$990.34	$1,445.53	$2,765.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $657.55 / $657.55 / $657.55	Professional		$657.55	$657.55	$657.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $873.23	Professional		$615.05	$615.05	$873.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $615.05	Professional		$615.05	$615.05	$615.05