Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.73 / $814.73 / $814.73	Facility		$814.73	$814.73	$814.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.91 / $803.29 / $814.73	Professional		$570.91	$803.29	$814.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.88 / $567.88 / $999.68	Facility		$567.88	$567.88	$999.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,359.38 / $1,372.97 / $1,699.22	Professional		$1,359.38	$1,372.97	$1,699.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $788.93 / $1,193.44 / $4,877.45	Facility		$788.93	$1,193.44	$4,877.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $453.39 / $693.81 / $1,175.09	Professional		$453.39	$693.81	$1,175.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $831.22 / $999.68 / $1,744.02	Facility		$831.22	$999.68	$1,744.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $905.14 / $1,013.75 / $2,106.65	Professional		$905.14	$1,013.75	$2,106.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $980.19 / $1,147.56 / $1,364.06	Professional		$980.19	$1,147.56	$1,364.06
United Facility/Professional Professional Modifier Low / Median / High Price $355.00 / $586.25 / $977.08	Professional		$355.00	$586.25	$977.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $890.62 / $890.62 / $890.62	Professional		$890.62	$890.62	$890.62