Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.75 / $565.75 / $565.75	Facility		$565.75	$565.75	$565.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $565.75 / $664.80	Professional		$524.04	$565.75	$664.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $436.96 / $738.58	Facility		$436.96	$436.96	$738.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.00 / $783.00 / $978.75	Professional		$783.00	$783.00	$978.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $502.42 / $804.41 / $3,169.20	Facility		$502.42	$804.41	$3,169.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $452.82 / $767.53	Professional		$271.20	$452.82	$767.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $614.11 / $738.58 / $1,165.35	Facility		$614.11	$738.58	$1,165.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $604.90 / $748.97 / $1,411.39	Professional		$604.90	$748.97	$1,411.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $567.83 / $664.80 / $790.23	Professional		$567.83	$664.80	$790.23
United Facility/Professional Professional Modifier Low / Median / High Price $237.21 / $452.82 / $720.74	Professional		$237.21	$452.82	$720.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $658.01 / $658.01 / $658.01	Professional		$658.01	$658.01	$658.01