Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.83 / $643.83 / $643.83	Facility		$643.83	$643.83	$643.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.90 / $620.63 / $643.83	Professional		$550.90	$620.63	$643.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $964.63	Facility		$524.34	$524.34	$964.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.38 / $1,074.38 / $1,342.97	Professional		$1,074.38	$1,074.38	$1,342.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.63 / $1,048.85 / $4,501.32	Facility		$620.63	$1,048.85	$4,501.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.69 / $578.70 / $995.93	Professional		$361.69	$578.70	$995.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $802.08 / $964.63 / $1,610.34	Facility		$802.08	$964.63	$1,610.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $790.03 / $978.21 / $1,843.41	Professional		$790.03	$978.21	$1,843.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $757.29 / $886.61 / $1,053.88	Professional		$757.29	$886.61	$1,053.88
United Facility/Professional Professional Modifier Low / Median / High Price $348.87 / $697.73 / $1,065.59	Professional		$348.87	$697.73	$1,065.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $859.40 / $859.40 / $859.40	Professional		$859.40	$859.40	$859.40