Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.50 / $697.50 / $697.50	Facility		$697.50	$697.50	$697.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.90 / $697.50 / $801.51	Professional		$689.90	$697.50	$801.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $627.26 / $627.26 / $1,208.04	Facility		$627.26	$627.26	$1,208.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,163.63 / $1,208.04 / $1,454.53	Professional		$1,163.63	$1,208.04	$1,454.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.51 / $1,292.31 / $5,394.87	Facility		$801.51	$1,292.31	$5,394.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $454.73 / $747.37 / $1,204.51	Professional		$454.73	$747.37	$1,204.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,004.47 / $1,208.04 / $1,926.42	Facility		$1,004.47	$1,208.04	$1,926.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $999.45 / $1,225.03 / $2,308.53	Professional		$999.45	$1,225.03	$2,308.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $978.02 / $1,145.02 / $1,361.04	Professional		$978.02	$1,145.02	$1,361.04
United Facility/Professional Professional Modifier Low / Median / High Price $392.13 / $584.28 / $974.91	Professional		$392.13	$584.28	$974.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,076.26 / $1,076.26 / $1,076.26	Professional		$1,076.26	$1,076.26	$1,076.26