Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.30 / $363.30 / $363.30	Facility		$363.30	$363.30	$363.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.46 / $363.30 / $467.50	Professional		$328.46	$363.30	$467.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $575.15	Facility		$373.35	$373.35	$575.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.00 / $606.00 / $757.50	Professional		$606.00	$606.00	$757.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.34 / $694.56 / $2,832.34	Facility		$402.34	$694.56	$2,832.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.85 / $399.17 / $683.89	Professional		$236.85	$399.17	$683.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $478.23 / $575.15 / $1,003.39	Facility		$478.23	$575.15	$1,003.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $583.24 / $1,226.05	Professional		$520.75	$583.24	$1,226.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $570.45 / $667.86 / $793.86	Professional		$570.45	$667.86	$793.86
United Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $341.18 / $568.64	Professional		$204.24	$341.18	$568.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.40 / $512.40 / $512.40	Professional		$512.40	$512.40	$512.40