Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.27 / $701.27 / $701.27	Facility		$701.27	$701.27	$701.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.45 / $608.35 / $701.27	Professional		$305.45	$608.35	$701.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $1,012.91	Facility		$632.51	$632.51	$1,012.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,170.00 / $1,462.50	Professional		$1,170.00	$1,170.00	$1,462.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $650.13 / $1,073.30 / $4,802.66	Facility		$650.13	$1,073.30	$4,802.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.88 / $606.21 / $1,092.89	Professional		$378.88	$606.21	$1,092.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $842.22 / $1,012.91 / $1,767.09	Facility		$842.22	$1,012.91	$1,767.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $829.57 / $1,027.17 / $1,935.65	Professional		$829.57	$1,027.17	$1,935.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $793.29 / $928.75 / $1,103.97	Professional		$793.29	$928.75	$1,103.97
United Facility/Professional Professional Modifier Low / Median / High Price $359.70 / $510.01 / $790.77	Professional		$359.70	$510.01	$790.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $902.41 / $902.41 / $902.41	Professional		$902.41	$902.41	$902.41