Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.78 / $490.78 / $490.78	Facility		$490.78	$490.78	$490.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.32 / $490.78 / $762.94	Professional		$457.32	$490.78	$762.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $644.53	Facility		$379.03	$379.03	$644.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.13 / $685.92 / $848.91	Professional		$679.13	$685.92	$848.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.12 / $793.46 / $3,128.86	Facility		$490.12	$793.46	$3,128.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $487.20 / $731.53	Professional		$270.27	$487.20	$731.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $535.91 / $644.53 / $1,124.44	Facility		$535.91	$644.53	$1,124.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $583.57 / $665.95 / $1,400.58	Professional		$583.57	$665.95	$1,400.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $651.66 / $762.94 / $906.88	Professional		$651.66	$762.94	$906.88
United Facility/Professional Professional Modifier Low / Median / High Price $228.88 / $389.76 / $649.60	Professional		$228.88	$389.76	$649.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $574.22 / $574.22 / $574.22	Professional		$574.22	$574.22	$574.22