Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Facility		$655.29	$655.29	$655.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $655.29	Professional		$655.29	$655.29	$655.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,715.75 / $1,715.75 / $2,144.69	Facility		$1,715.75	$1,715.75	$2,144.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.90 / $967.48 / $1,197.38	Professional		$957.90	$967.48	$1,197.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $1,234.43 / $1,750.00	Facility		$730.43	$1,234.43	$1,750.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $730.43 / $730.43 / $5,727.50	Professional		$730.43	$730.43	$5,727.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $876.52 / $1,321.21 / $2,113.71	Facility		$876.52	$1,321.21	$2,113.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $582.48 / $876.52 / $2,113.71	Professional		$582.48	$876.52	$2,113.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $717.12 / $717.12 / $717.12	Professional		$717.12	$717.12	$717.12
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $655.29 / $720.83	Professional		$655.29	$655.29	$720.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $730.43 / $730.43	Facility		$730.43	$730.43	$730.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $730.43 / $730.43 / $730.43	Professional		$730.43	$730.43	$730.43