Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.50 / $571.50 / $571.50	Facility		$571.50	$571.50	$571.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.27 / $497.27 / $571.50	Professional		$497.27	$497.27	$571.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,072.08 / $1,310.93 / $1,638.67	Professional		$1,072.08	$1,310.93	$1,638.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.66 / $840.39 / $1,283.83	Facility		$642.66	$840.39	$1,283.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $538.84 / $972.50 / $1,200.98	Professional		$538.84	$972.50	$1,200.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $430.78 / $1,095.75 / $1,901.67	Facility		$430.78	$1,095.75	$1,901.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $783.00 / $1,200.98 / $1,430.72	Professional		$783.00	$1,200.98	$1,430.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $558.09 / $897.94 / $1,090.03	Professional		$558.09	$897.94	$1,090.03
United Facility/Professional Professional Modifier Low / Median / High Price $575.59 / $682.93 / $1,098.84	Professional		$575.59	$682.93	$1,098.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,038.40 / $1,221.59 / $1,221.59	Professional		$1,038.40	$1,221.59	$1,221.59