Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.24 / $645.24 / $645.24	Facility		$645.24	$645.24	$645.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.87 / $533.35 / $645.24	Professional		$529.87	$533.35	$645.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.14 / $501.14 / $933.91	Facility		$501.14	$501.14	$933.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,022.33 / $1,076.63 / $1,345.78	Professional		$1,022.33	$1,076.63	$1,345.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $580.20 / $926.54 / $4,303.54	Facility		$580.20	$926.54	$4,303.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.51 / $511.22 / $951.87	Professional		$319.51	$511.22	$951.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $776.53 / $933.91 / $1,539.09	Facility		$776.53	$933.91	$1,539.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $764.88 / $947.06 / $1,784.68	Professional		$764.88	$947.06	$1,784.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $668.99 / $783.22 / $930.97	Professional		$668.99	$783.22	$930.97
United Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $466.80 / $928.63	Professional		$313.29	$466.80	$928.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $832.03 / $832.03 / $832.03	Professional		$832.03	$832.03	$832.03