Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.54 / $734.54 / $734.54	Facility		$734.54	$734.54	$734.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $734.54 / $734.54	Professional		$624.36	$734.54	$734.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.75 / $612.19 / $1,406.24	Facility		$489.75	$612.19	$1,406.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $988.80 / $1,370.29 / $1,671.07	Facility		$988.80	$1,370.29	$1,671.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $3,757.44	Professional		$612.11	$612.11	$3,757.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,406.24 / $1,781.86 / $2,104.98	Facility		$1,406.24	$1,781.86	$2,104.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $989.62 / $989.62 / $989.62	Professional		$989.62	$989.62	$989.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $624.36 / $624.36	Professional		$624.36	$624.36	$624.36
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $673.32	Professional		$612.11	$612.11	$673.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $824.00 / $824.00	Professional		$824.00	$824.00	$824.00