Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $724.44	Professional		$389.05	$562.34	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,096.48	Facility		$549.54	$549.54	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,445.44	Professional		$1,148.15	$1,148.15	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,862.09	Facility		$741.31	$1,000.00	$1,862.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $5,011.87	Professional		$398.11	$630.96	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,071.52	Professional		$891.25	$1,071.52	$1,071.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,778.28	Professional		$891.25	$891.25	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,318.26	Professional		$831.76	$1,000.00	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,047.13	Professional		$398.11	$501.19	$1,047.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25