Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.30 / $638.30 / $638.30	Facility		$638.30	$638.30	$638.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.80 / $782.37 / $1,139.97	Professional		$427.80	$782.37	$1,139.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,353.91 / $1,353.91 / $1,353.91	Facility		$1,353.91	$1,353.91	$1,353.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.36 / $2,368.36 / $2,960.45	Professional		$1,498.36	$2,368.36	$2,960.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.88 / $768.88 / $6,102.49	Facility		$640.88	$768.88	$6,102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $611.15 / $1,564.74	Professional		$407.43	$611.15	$1,564.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $876.26 / $1,509.00 / $1,851.30	Facility		$876.26	$1,509.00	$1,851.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $876.26 / $1,488.19 / $1,840.61	Professional		$876.26	$1,488.19	$1,840.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $971.04 / $3,044.85 / $3,582.21	Professional		$971.04	$3,044.85	$3,582.21
United Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $475.05 / $1,397.22	Professional		$285.20	$475.05	$1,397.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $1,303.95	Professional		$1,303.95	$1,303.95	$1,303.95