Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.00 / $876.00 / $876.00	Facility		$876.00	$876.00	$876.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.13 / $871.29 / $876.00	Professional		$788.13	$871.29	$876.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $1,380.04	Facility		$741.89	$741.89	$1,380.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.75 / $1,461.75 / $1,827.19	Professional		$1,461.75	$1,461.75	$1,827.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $871.29 / $1,472.48 / $5,871.01	Facility		$871.29	$1,472.48	$5,871.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $812.44 / $1,376.00	Professional		$507.78	$812.44	$1,376.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,147.48 / $1,380.04 / $2,161.37	Facility		$1,147.48	$1,380.04	$2,161.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,130.26 / $1,399.47 / $2,637.24	Professional		$1,130.26	$1,399.47	$2,637.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,063.17 / $1,244.70 / $1,479.52	Professional		$1,063.17	$1,244.70	$1,479.52
United Facility/Professional Professional Modifier Low / Median / High Price $439.96 / $635.87 / $1,059.78	Professional		$439.96	$635.87	$1,059.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,229.49 / $1,229.49 / $1,229.49	Professional		$1,229.49	$1,229.49	$1,229.49