Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.60 / $549.60 / $549.60	Facility		$549.60	$549.60	$549.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.71 / $549.60 / $579.99	Professional		$540.71	$549.60	$579.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $494.25 / $1,015.59	Facility		$494.25	$494.25	$1,015.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.88 / $926.04 / $1,146.08	Professional		$916.88	$926.04	$1,146.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.91 / $913.80 / $4,154.25	Facility		$630.91	$913.80	$4,154.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.12 / $504.19 / $988.67	Professional		$315.12	$504.19	$988.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $844.44 / $1,015.59 / $1,517.91	Facility		$844.44	$1,015.59	$1,517.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,029.86 / $1,940.75	Professional		$831.76	$1,029.86	$1,940.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $659.79 / $772.44 / $918.17	Professional		$659.79	$772.44	$918.17
United Facility/Professional Professional Modifier Low / Median / High Price $308.98 / $460.38 / $657.69	Professional		$308.98	$460.38	$657.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $877.10 / $877.10 / $877.10	Professional		$877.10	$877.10	$877.10