Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.16 / $650.16 / $650.16	Facility		$650.16	$650.16	$650.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.34 / $650.16 / $707.00	Professional		$625.34	$650.16	$707.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $881.34	Facility		$427.25	$427.25	$881.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $1,125.00	Professional		$900.00	$900.00	$1,125.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $597.05 / $855.46 / $3,613.43	Facility		$597.05	$855.46	$3,613.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.42 / $489.37 / $878.76	Professional		$288.42	$489.37	$878.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $732.82 / $881.34 / $1,312.13	Facility		$732.82	$881.34	$1,312.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $721.82 / $893.76 / $1,684.24	Professional		$721.82	$893.76	$1,684.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $603.89 / $707.00 / $840.38	Professional		$603.89	$707.00	$840.38
United Facility/Professional Professional Modifier Low / Median / High Price $267.08 / $481.58 / $776.22	Professional		$267.08	$481.58	$776.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $785.20 / $785.20 / $785.20	Professional		$785.20	$785.20	$785.20