Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.53 / $731.53 / $731.53	Facility		$731.53	$731.53	$731.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.76 / $619.76 / $731.53	Professional		$619.76	$619.76	$731.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,306.81 / $1,597.94 / $1,997.43	Professional		$1,306.81	$1,597.94	$1,997.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $625.95 / $1,047.39 / $1,698.14	Facility		$625.95	$1,047.39	$1,698.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $651.52 / $1,249.00 / $1,828.30	Professional		$651.52	$1,249.00	$1,828.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $543.48 / $1,536.76 / $2,288.02	Facility		$543.48	$1,536.76	$2,288.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $1,536.76 / $1,950.31	Professional		$353.00	$1,536.76	$1,950.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $751.84 / $1,242.10 / $1,673.88	Professional		$751.84	$1,242.10	$1,673.88
United Facility/Professional Professional Modifier Low / Median / High Price $820.48 / $957.68 / $1,741.24	Professional		$820.48	$957.68	$1,741.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,245.40 / $1,465.20 / $1,465.20	Professional		$1,245.40	$1,465.20	$1,465.20