Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.20 / $523.20 / $1,386.10	Facility		$523.20	$523.20	$1,386.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $523.20 / $816.46	Professional		$238.56	$523.20	$816.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,109.76 / $1,109.76 / $1,109.76	Facility		$1,109.76	$1,109.76	$1,109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.67 / $1,011.19 / $1,263.98	Professional		$799.67	$1,011.19	$1,263.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $525.32 / $630.23 / $1,021.80	Facility		$525.32	$630.23	$1,021.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $333.96 / $1,020.57	Professional		$283.87	$333.96	$1,020.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $718.26 / $1,020.57 / $1,236.92	Facility		$718.26	$1,020.57	$1,236.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $667.92 / $1,020.57 / $1,219.83	Professional		$667.92	$1,020.57	$1,219.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $795.94 / $1,341.02 / $1,529.09	Professional		$795.94	$1,341.02	$1,529.09
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $283.87 / $734.71	Professional		$233.77	$283.87	$734.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $556.60	Professional		$556.60	$556.60	$556.60