Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.64 / $744.64 / $744.64	Facility		$744.64	$744.64	$744.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.75 / $744.64 / $744.64	Professional		$530.75	$744.64	$744.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.35 / $1,438.77 / $1,798.46	Professional		$919.35	$1,438.77	$1,798.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.65 / $896.97 / $3,762.81	Facility		$747.65	$896.97	$3,762.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.01 / $712.95 / $1,188.26	Professional		$404.01	$712.95	$1,188.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $950.60 / $950.60 / $1,630.02	Facility		$950.60	$950.60	$1,630.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $950.60 / $1,630.02 / $1,853.68	Professional		$950.60	$1,630.02	$1,853.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,622.28 / $1,908.58 / $2,176.25	Professional		$1,622.28	$1,908.58	$2,176.25
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $712.95 / $792.17	Professional		$332.71	$712.95	$792.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $792.17 / $792.17 / $792.17	Professional		$792.17	$792.17	$792.17