Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.60 / $347.60 / $347.60	Facility		$347.60	$347.60	$347.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.52 / $328.16 / $347.60	Professional		$304.52	$328.16	$347.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $352.55 / $533.25	Facility		$352.55	$352.55	$533.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.13 / $580.13 / $725.16	Professional		$580.13	$580.13	$725.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.28 / $554.59 / $2,469.31	Facility		$331.28	$554.59	$2,469.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $305.99 / $545.79	Professional		$191.25	$305.99	$545.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $443.38 / $533.25 / $882.50	Facility		$443.38	$533.25	$882.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $436.73 / $540.74 / $1,019.00	Professional		$436.73	$540.74	$1,019.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $400.43 / $468.80 / $557.24	Professional		$400.43	$468.80	$557.24
United Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $254.70 / $399.15	Professional		$179.64	$254.70	$399.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $460.53 / $460.53 / $460.53	Professional		$460.53	$460.53	$460.53