Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $407.96	Facility		$407.96	$407.96	$407.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.13 / $405.90 / $407.96	Professional		$337.13	$405.90	$407.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $590.33	Facility		$335.34	$335.34	$590.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.63 / $680.63 / $850.78	Professional		$680.63	$680.63	$850.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $405.90 / $685.97 / $2,852.46	Facility		$405.90	$685.97	$2,852.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.56 / $378.49 / $636.95	Professional		$236.56	$378.49	$636.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $490.84 / $590.33 / $1,029.86	Facility		$490.84	$590.33	$1,029.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $506.15 / $598.64 / $1,128.10	Professional		$506.15	$598.64	$1,128.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $495.30 / $579.85 / $689.25	Professional		$495.30	$579.85	$689.25
United Facility/Professional Professional Modifier Low / Median / High Price $209.63 / $312.35 / $493.71	Professional		$209.63	$312.35	$493.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $525.92 / $525.92 / $525.92	Professional		$525.92	$525.92	$525.92