Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.44 / $784.44 / $784.44	Facility		$784.44	$784.44	$784.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.90 / $645.58 / $791.79	Professional		$340.90	$645.58	$791.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $1,130.44	Facility		$700.00	$700.00	$1,130.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,308.75 / $1,308.75 / $1,635.94	Professional		$1,308.75	$1,308.75	$1,635.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.80 / $1,323.13 / $5,530.59	Facility		$790.80	$1,323.13	$5,530.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.44 / $738.30 / $1,219.70	Professional		$461.44	$738.30	$1,219.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $939.94 / $1,130.44 / $1,972.14	Facility		$939.94	$1,130.44	$1,972.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $987.32 / $1,146.34 / $2,160.25	Professional		$987.32	$1,146.34	$2,160.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $966.15 / $1,131.13 / $1,344.53	Professional		$966.15	$1,131.13	$1,344.53
United Facility/Professional Professional Modifier Low / Median / High Price $401.43 / $598.14 / $1,490.25	Professional		$401.43	$598.14	$1,490.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,007.12 / $1,007.12 / $1,007.12	Professional		$1,007.12	$1,007.12	$1,007.12