Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.28 / $510.28 / $510.28	Facility		$510.28	$510.28	$510.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.44 / $455.80 / $510.28	Professional		$425.44	$455.80	$510.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $744.96	Facility		$408.71	$408.71	$744.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.95 / $851.25 / $1,064.06	Professional		$849.95	$851.25	$1,064.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $462.80 / $770.30 / $3,443.36	Facility		$462.80	$770.30	$3,443.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $425.02 / $776.31	Professional		$265.64	$425.02	$776.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $619.41 / $744.96 / $1,255.22	Facility		$619.41	$744.96	$1,255.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $610.12 / $755.44 / $1,423.61	Professional		$610.12	$755.44	$1,423.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $556.19 / $651.14 / $773.99	Professional		$556.19	$651.14	$773.99
United Facility/Professional Professional Modifier Low / Median / High Price $255.50 / $380.71 / $554.41	Professional		$255.50	$380.71	$554.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $663.70 / $663.70 / $663.70	Professional		$663.70	$663.70	$663.70