Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.17 / $751.17 / $751.17	Facility		$751.17	$751.17	$751.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.37 / $580.03 / $751.17	Professional		$320.37	$580.03	$751.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $1,183.35	Facility		$702.03	$702.03	$1,183.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,253.25 / $1,253.25 / $1,566.56	Professional		$1,253.25	$1,253.25	$1,566.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.14 / $1,262.67 / $5,034.28	Facility		$747.14	$1,262.67	$5,034.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $435.42 / $696.66 / $1,179.91	Professional		$435.42	$696.66	$1,179.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $983.95 / $1,183.35 / $1,853.33	Facility		$983.95	$1,183.35	$1,853.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $969.18 / $1,200.02 / $2,261.39	Professional		$969.18	$1,200.02	$2,261.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $911.66 / $1,067.33 / $1,268.71	Professional		$911.66	$1,067.33	$1,268.71
United Facility/Professional Professional Modifier Low / Median / High Price $377.25 / $545.26 / $908.77	Professional		$377.25	$545.26	$908.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,054.26 / $1,054.26 / $1,054.26	Professional		$1,054.26	$1,054.26	$1,054.26