Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.21 / $391.21 / $391.21	Facility		$391.21	$391.21	$391.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.29 / $364.14 / $391.21	Professional		$343.29	$364.14	$391.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $637.62	Facility		$313.79	$313.79	$637.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.14 / $652.88 / $816.09	Professional		$640.14	$652.88	$816.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $396.13 / $580.16 / $2,738.27	Facility		$396.13	$580.16	$2,738.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $320.10 / $635.75	Professional		$200.06	$320.10	$635.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $530.16 / $637.62 / $963.70	Facility		$530.16	$637.62	$963.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.22 / $646.59 / $1,218.47	Professional		$522.22	$646.59	$1,218.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $418.88 / $490.41 / $582.92	Professional		$418.88	$490.41	$582.92
United Facility/Professional Professional Modifier Low / Median / High Price $196.16 / $289.18 / $417.55	Professional		$196.16	$289.18	$417.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $568.05 / $568.05 / $568.05	Professional		$568.05	$568.05	$568.05