Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.40 / $131.40 / $773.68	Facility		$131.40	$131.40	$773.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $742.09 / $901.98	Professional		$119.92	$742.09	$901.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,744.00 / $1,744.00 / $1,744.00	Facility		$1,744.00	$1,744.00	$1,744.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.99 / $353.65 / $1,901.78	Professional		$225.99	$353.65	$1,901.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $411.86 / $1,650.54	Facility		$160.00	$411.86	$1,650.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $662.57 / $1,567.67 / $5,036.20	Professional		$662.57	$1,567.67	$5,036.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $280.27 / $1,122.79 / $2,058.42	Facility		$280.27	$1,122.79	$2,058.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.08 / $984.41 / $2,058.42	Professional		$230.08	$984.41	$2,058.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $195.33 / $1,018.61 / $1,405.24	Professional		$195.33	$1,018.61	$1,405.24
United Facility/Professional Professional Modifier Low / Median / High Price $432.98 / $1,320.81 / $1,754.90	Professional		$432.98	$1,320.81	$1,754.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $312.39 / $1,652.30	Professional		$300.39	$312.39	$1,652.30