Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.83 / $622.83 / $622.83	Facility		$622.83	$622.83	$622.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.93 / $622.83 / $622.83	Professional		$443.93	$622.83	$622.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $768.77 / $1,203.10 / $1,503.89	Professional		$768.77	$1,203.10	$1,503.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $625.34 / $750.24 / $3,147.26	Facility		$625.34	$750.24	$3,147.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.92 / $596.32 / $993.87	Professional		$337.92	$596.32	$993.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $795.10 / $795.10 / $1,822.38	Facility		$795.10	$795.10	$1,822.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $795.10 / $1,550.44 / $1,822.38	Professional		$795.10	$1,550.44	$1,822.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,356.90 / $1,596.35 / $1,820.24	Professional		$1,356.90	$1,596.35	$1,820.24
United Facility/Professional Professional Modifier Low / Median / High Price $278.27 / $596.32 / $993.87	Professional		$278.27	$596.32	$993.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $662.58 / $662.58 / $662.58	Professional		$662.58	$662.58	$662.58