Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $562.34 / $562.34	Facility		$489.78	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $588.84	Professional		$295.12	$489.78	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $741.31	Facility		$436.52	$436.52	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $977.24	Professional		$776.25	$776.25	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $691.83 / $1,819.70	Facility		$537.03	$691.83	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $3,388.44	Professional		$269.15	$446.68	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $741.31	Professional		$616.60	$724.44	$741.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,202.26	Professional		$616.60	$616.60	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $891.25	Professional		$562.34	$676.08	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $707.95	Professional		$269.15	$446.68	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69