Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.67 / $534.67 / $534.67	Facility		$534.67	$534.67	$534.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.22 / $534.67 / $623.39	Professional		$498.22	$534.67	$623.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.94 / $412.94 / $702.19	Facility		$412.94	$412.94	$702.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.88 / $739.88 / $924.84	Professional		$739.88	$739.88	$924.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.96 / $681.63 / $3,399.27	Facility		$533.96	$681.63	$3,399.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.31 / $424.62 / $757.62	Professional		$254.31	$424.62	$757.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $583.86 / $702.19 / $1,225.01	Facility		$583.86	$702.19	$1,225.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $575.09 / $712.07 / $1,341.87	Professional		$575.09	$712.07	$1,341.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $532.47 / $623.39 / $741.00	Professional		$532.47	$623.39	$741.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.36 / $424.62 / $565.69	Professional		$249.36	$424.62	$565.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $625.58 / $625.58 / $625.58	Professional		$625.58	$625.58	$625.58