Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.38 / $840.38 / $840.38	Facility		$840.38	$840.38	$840.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.08 / $835.87 / $840.38	Professional		$756.08	$835.87	$840.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.53 / $944.53 / $1,323.92	Facility		$944.53	$944.53	$1,323.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,402.13 / $1,402.13 / $1,752.66	Professional		$1,402.13	$1,402.13	$1,752.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $835.87 / $1,412.62 / $5,632.19	Facility		$835.87	$1,412.62	$5,632.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.13 / $779.41 / $1,320.05	Professional		$487.13	$779.41	$1,320.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,100.81 / $1,323.92 / $2,073.44	Facility		$1,100.81	$1,323.92	$2,073.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,084.27 / $1,342.54 / $2,529.96	Professional		$1,084.27	$1,342.54	$2,529.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,019.95 / $1,194.09 / $1,419.38	Professional		$1,019.95	$1,194.09	$1,419.38
United Facility/Professional Professional Modifier Low / Median / High Price $422.06 / $628.87 / $1,282.34	Professional		$422.06	$628.87	$1,282.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,179.49 / $1,179.49 / $1,179.49	Professional		$1,179.49	$1,179.49	$1,179.49