Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.62 / $520.62 / $520.62	Facility		$520.62	$520.62	$520.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.20 / $520.62 / $592.58	Professional		$443.20	$520.62	$592.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.09 / $402.09 / $624.64	Facility		$402.09	$402.09	$624.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.75 / $720.75 / $900.94	Professional		$720.75	$720.75	$900.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.69 / $692.94 / $2,775.01	Facility		$443.69	$692.94	$2,775.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.74 / $403.63 / $649.12	Professional		$241.74	$403.63	$649.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $519.38 / $624.64 / $1,012.57	Facility		$519.38	$624.64	$1,012.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $517.25 / $633.42 / $1,193.67	Professional		$517.25	$633.42	$1,193.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $506.15 / $592.58 / $704.37	Professional		$506.15	$592.58	$704.37
United Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $350.98 / $504.54	Professional		$206.12	$350.98	$504.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $556.49 / $556.49 / $556.49	Professional		$556.49	$556.49	$556.49