Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.39 / $632.39 / $632.39	Facility		$632.39	$632.39	$632.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.41 / $632.39 / $694.07	Professional		$582.41	$632.39	$694.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $820.84	Facility		$394.91	$394.91	$820.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.25 / $875.25 / $1,094.06	Professional		$875.25	$875.25	$1,094.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $509.94 / $796.69 / $3,305.62	Facility		$509.94	$796.69	$3,305.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $472.77 / $853.02	Professional		$283.14	$472.77	$853.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $682.51 / $820.84 / $1,212.81	Facility		$682.51	$820.84	$1,212.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $672.26 / $832.38 / $1,568.60	Professional		$672.26	$832.38	$1,568.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $592.84 / $694.07 / $825.02	Professional		$592.84	$694.07	$825.02
United Facility/Professional Professional Modifier Low / Median / High Price $246.87 / $420.39 / $590.96	Professional		$246.87	$420.39	$590.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $731.30 / $731.30 / $731.30	Professional		$731.30	$731.30	$731.30