Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.56 / $755.56 / $755.56	Facility		$755.56	$755.56	$755.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.45 / $751.52 / $755.56	Professional		$583.45	$751.52	$755.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.01 / $607.01 / $1,190.30	Facility		$607.01	$607.01	$1,190.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.75 / $1,260.75 / $1,575.94	Professional		$1,260.75	$1,260.75	$1,575.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $751.52 / $1,270.07 / $5,063.85	Facility		$751.52	$1,270.07	$5,063.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.97 / $565.41 / $1,186.82	Professional		$437.97	$565.41	$1,186.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $989.71 / $1,190.30 / $1,864.21	Facility		$989.71	$1,190.30	$1,864.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $974.86 / $1,207.05 / $2,274.63	Professional		$974.86	$1,207.05	$2,274.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $917.01 / $1,073.59 / $1,276.15	Professional		$917.01	$1,073.59	$1,276.15
United Facility/Professional Professional Modifier Low / Median / High Price $379.47 / $565.41 / $1,152.95	Professional		$379.47	$565.41	$1,152.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,027.99 / $1,027.99 / $1,027.99	Professional		$1,027.99	$1,027.99	$1,027.99