Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $831.76 / $831.76	Facility		$776.25	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $831.76	Professional		$537.03	$645.65	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,348.96	Facility		$707.95	$707.95	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,737.80	Professional		$1,380.38	$1,380.38	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $2,041.74	Facility		$912.01	$1,096.48	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $8,709.64	Professional		$426.58	$691.83	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,318.26	Professional		$1,096.48	$1,318.26	$1,318.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,949.84	Professional		$1,096.48	$1,096.48	$1,949.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,412.54	Professional		$891.25	$1,071.52	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,288.25	Professional		$426.58	$630.96	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90