Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.75 / $794.75 / $794.75	Facility		$794.75	$794.75	$794.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.74 / $794.75 / $888.09	Professional		$701.74	$794.75	$888.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $989.01	Facility		$501.15	$501.15	$989.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.88 / $1,099.88 / $1,374.84	Professional		$1,099.88	$1,099.88	$1,374.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $650.62 / $1,343.13 / $4,189.30	Facility		$650.62	$1,343.13	$4,189.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $362.30 / $604.91 / $951.89	Professional		$362.30	$604.91	$951.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $822.35 / $989.01 / $1,539.11	Facility		$822.35	$989.01	$1,539.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $1,002.93 / $1,889.98	Professional		$810.00	$1,002.93	$1,889.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.56 / $888.09 / $1,055.63	Professional		$758.56	$888.09	$1,055.63
United Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $533.50 / $756.15	Professional		$313.29	$533.50	$756.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $881.12 / $881.12 / $881.12	Professional		$881.12	$881.12	$881.12