Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.81 / $906.81 / $906.81	Facility		$906.81	$906.81	$906.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.55 / $780.17 / $906.81	Professional		$763.55	$780.17	$906.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.15 / $713.15 / $1,337.02	Facility		$713.15	$713.15	$1,337.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.82 / $1,513.13 / $1,891.41	Professional		$1,454.82	$1,513.13	$1,891.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $830.62 / $1,318.49 / $6,073.14	Facility		$830.62	$1,318.49	$6,073.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $454.68 / $727.48 / $1,354.55	Professional		$454.68	$727.48	$1,354.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,111.70 / $1,337.02 / $2,190.16	Facility		$1,111.70	$1,337.02	$2,190.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,095.02 / $1,355.84 / $2,555.02	Professional		$1,095.02	$1,355.84	$2,555.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $951.98 / $1,114.53 / $1,324.80	Professional		$951.98	$1,114.53	$1,324.80
United Facility/Professional Professional Modifier Low / Median / High Price $454.68 / $909.35 / $1,500.85	Professional		$454.68	$909.35	$1,500.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,191.16 / $1,191.16 / $1,191.16	Professional		$1,191.16	$1,191.16	$1,191.16