Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,148.15	Facility		$575.44	$575.44	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $977.24	Professional		$575.44	$575.44	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $724.44	Professional		$588.84	$588.84	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $812.83 / $1,548.82	Facility		$436.52	$812.83	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $575.44	Professional		$478.63	$562.34	$575.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $660.69	Professional		$575.44	$575.44	$660.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44