Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $636.59 / $3,995.14	Facility		$636.59	$636.59	$3,995.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $642.96 / $4,991.12	Professional		$636.59	$642.96	$4,991.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.16 / $676.16 / $845.20	Professional		$676.16	$676.16	$845.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $677.58 / $893.30 / $1,800.00	Facility		$677.58	$893.30	$1,800.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $528.58 / $663.64	Professional		$528.58	$528.58	$663.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $634.29 / $846.98 / $1,071.57	Facility		$634.29	$846.98	$1,071.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $634.29 / $846.98 / $1,071.57	Professional		$634.29	$846.98	$1,071.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $696.65 / $696.65 / $1,530.00	Professional		$696.65	$696.65	$1,530.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $700.25	Professional		$636.59	$636.59	$700.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $528.58 / $528.58	Facility		$528.58	$528.58	$528.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $528.58 / $528.58	Professional		$528.58	$528.58	$528.58