Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $645.65	Facility		$416.87	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $645.65	Professional		$281.84	$416.87	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $660.69	Facility		$489.78	$489.78	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,096.48	Professional		$891.25	$891.25	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $1,548.82	Facility		$478.63	$645.65	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $3,388.44	Professional		$229.09	$380.19	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $645.65	Professional		$537.03	$645.65	$645.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,023.29	Professional		$537.03	$537.03	$1,023.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $758.58	Professional		$478.63	$575.44	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $776.25	Professional		$229.09	$380.19	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44