Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.75 / $964.75 / $964.75	Facility		$964.75	$964.75	$964.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.49 / $744.86 / $964.75	Professional		$684.49	$744.86	$964.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.86 / $680.86 / $1,198.57	Facility		$680.86	$680.86	$1,198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.95 / $1,609.50 / $2,011.88	Professional		$1,388.95	$1,609.50	$2,011.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $744.86 / $1,258.81 / $5,885.29	Facility		$744.86	$1,258.81	$5,885.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $694.54 / $1,293.21	Professional		$434.09	$694.54	$1,293.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $996.59 / $1,198.57 / $2,091.00	Facility		$996.59	$1,198.57	$2,091.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $981.64 / $1,215.44 / $2,290.46	Professional		$981.64	$1,215.44	$2,290.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $908.88 / $1,064.08 / $1,264.82	Professional		$908.88	$1,064.08	$1,264.82
United Facility/Professional Professional Modifier Low / Median / High Price $425.63 / $634.19 / $1,293.21	Professional		$425.63	$634.19	$1,293.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,067.82 / $1,067.82 / $1,067.82	Professional		$1,067.82	$1,067.82	$1,067.82