Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.64 / $746.64 / $746.64	Facility		$746.64	$746.64	$746.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.71 / $742.61 / $746.64	Professional		$671.71	$742.61	$746.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.41 / $695.41 / $1,176.19	Facility		$695.41	$695.41	$1,176.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.75 / $1,245.75 / $1,557.19	Professional		$1,245.75	$1,245.75	$1,557.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $742.61 / $1,255.01 / $5,003.81	Facility		$742.61	$1,255.01	$5,003.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.78 / $692.44 / $1,172.74	Professional		$432.78	$692.44	$1,172.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $977.98 / $1,176.19 / $1,842.11	Facility		$977.98	$1,176.19	$1,842.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $963.30 / $1,192.74 / $2,247.67	Professional		$963.30	$1,192.74	$2,247.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $906.13 / $1,060.86 / $1,261.01	Professional		$906.13	$1,060.86	$1,261.01
United Facility/Professional Professional Modifier Low / Median / High Price $374.97 / $541.96 / $903.26	Professional		$374.97	$541.96	$903.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.86 / $1,047.86 / $1,047.86	Professional		$1,047.86	$1,047.86	$1,047.86