Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $933.25	Facility		$776.25	$933.25	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $933.25	Professional		$467.74	$630.96	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,174.90	Facility		$776.25	$776.25	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,949.84	Professional		$1,584.89	$1,584.89	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,995.26	Facility		$794.33	$1,122.02	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $6,606.93	Professional		$426.58	$660.69	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,148.15	Professional		$954.99	$1,148.15	$1,148.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,905.46	Professional		$954.99	$954.99	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,412.54	Professional		$891.25	$1,071.52	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $1,380.38	Professional		$426.58	$575.44	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29