Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.08 / $517.08 / $517.08	Facility		$517.08	$517.08	$517.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.27 / $467.06 / $517.08	Professional		$441.27	$467.06	$517.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $621.91	Facility		$298.85	$298.85	$621.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.66 / $715.50 / $894.38	Professional		$609.66	$715.50	$894.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $404.15 / $616.20 / $2,706.40	Facility		$404.15	$616.20	$2,706.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $318.14 / $646.29	Professional		$190.54	$318.14	$646.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $517.12 / $621.91 / $917.83	Facility		$517.12	$621.91	$917.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $509.35 / $630.66 / $1,188.50	Professional		$509.35	$630.66	$1,188.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.94 / $467.06 / $555.17	Professional		$398.94	$467.06	$555.17
United Facility/Professional Professional Modifier Low / Median / High Price $186.82 / $245.94 / $397.67	Professional		$186.82	$245.94	$397.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $554.07 / $554.07 / $554.07	Professional		$554.07	$554.07	$554.07