Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.81 / $387.81 / $387.81	Facility		$387.81	$387.81	$387.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.81 / $407.77 / $417.40	Professional		$387.81	$407.77	$417.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $299.52 / $574.71	Facility		$299.52	$299.52	$574.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.63 / $541.99 / $670.78	Professional		$536.63	$541.99	$670.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $361.17 / $525.99 / $2,143.81	Facility		$361.17	$525.99	$2,143.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $284.31 / $541.99	Professional		$170.28	$284.31	$541.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $477.85 / $574.71 / $783.66	Facility		$477.85	$574.71	$783.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $468.76 / $582.79 / $1,098.25	Professional		$468.76	$582.79	$1,098.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $356.52 / $417.40 / $496.15	Professional		$356.52	$417.40	$496.15
United Facility/Professional Professional Modifier Low / Median / High Price $159.52 / $271.64 / $355.39	Professional		$159.52	$271.64	$355.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $512.01 / $512.01 / $512.01	Professional		$512.01	$512.01	$512.01