Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.90 / $766.90 / $766.90	Facility		$766.90	$766.90	$766.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.95 / $764.33 / $766.90	Professional		$689.95	$764.33	$766.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.27 / $616.27 / $1,208.13	Facility		$616.27	$616.27	$1,208.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,279.50 / $1,279.50 / $1,599.38	Professional		$1,279.50	$1,279.50	$1,599.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $785.24 / $1,291.72 / $5,140.93	Facility		$785.24	$1,291.72	$5,140.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.44 / $743.74 / $1,255.49	Professional		$445.44	$743.74	$1,255.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,004.53 / $1,208.13 / $1,892.63	Facility		$1,004.53	$1,208.13	$1,892.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,093.84 / $1,225.10 / $2,859.46	Professional		$1,093.84	$1,225.10	$2,859.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $932.64 / $1,091.90 / $1,297.90	Professional		$932.64	$1,091.90	$1,297.90
United Facility/Professional Professional Modifier Low / Median / High Price $385.25 / $712.70 / $929.68	Professional		$385.25	$712.70	$929.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,043.39 / $1,043.39 / $1,043.39	Professional		$1,043.39	$1,043.39	$1,043.39