Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.28 / $787.28 / $787.28	Facility		$787.28	$787.28	$787.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.69 / $708.12 / $787.28	Professional		$666.69	$708.12	$787.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $732.96 / $1,167.39	Facility		$732.96	$732.96	$1,167.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.63 / $1,320.45 / $1,642.03	Professional		$1,313.63	$1,320.45	$1,642.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $725.25 / $1,192.05 / $5,476.21	Facility		$725.25	$1,192.05	$5,476.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $412.68 / $660.29 / $1,229.43	Professional		$412.68	$660.29	$1,229.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $970.67 / $1,167.39 / $1,987.88	Facility		$970.67	$1,167.39	$1,987.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $956.11 / $1,183.83 / $2,230.88	Professional		$956.11	$1,183.83	$2,230.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $864.06 / $1,011.60 / $1,202.45	Professional		$864.06	$1,011.60	$1,202.45
United Facility/Professional Professional Modifier Low / Median / High Price $404.64 / $573.73 / $917.97	Professional		$404.64	$573.73	$917.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,040.03 / $1,040.03 / $1,040.03	Professional		$1,040.03	$1,040.03	$1,040.03