Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Facility		$449.41	$449.41	$449.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $449.41	Professional		$449.41	$449.41	$449.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $658.05 / $658.05 / $822.56	Facility		$658.05	$658.05	$822.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.81 / $496.73 / $614.77	Professional		$491.81	$496.73	$614.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $483.65 / $817.37 / $1,325.20	Facility		$483.65	$817.37	$1,325.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $482.72 / $483.65 / $2,709.11	Professional		$482.72	$483.65	$2,709.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $579.26 / $797.68 / $1,193.88	Facility		$579.26	$797.68	$1,193.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $579.26 / $580.38 / $1,561.29	Professional		$579.26	$580.38	$1,561.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $491.81 / $491.81 / $491.81	Professional		$491.81	$491.81	$491.81
United Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $449.41 / $705.64	Professional		$449.41	$449.41	$705.64
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $483.65 / $483.65 / $483.65	Facility		$483.65	$483.65	$483.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $483.65 / $483.65 / $483.65	Professional		$483.65	$483.65	$483.65