Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $812.83 / $812.83	Facility		$707.95	$812.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $812.83	Professional		$501.19	$588.84	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,230.27	Facility		$758.58	$758.58	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,698.24	Professional		$1,348.96	$1,348.96	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,819.70	Facility		$851.14	$1,000.00	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $6,165.95	Professional		$389.05	$616.60	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,202.26	Professional		$1,000.00	$1,202.26	$1,202.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,737.80	Professional		$1,000.00	$1,000.00	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,288.25	Professional		$812.83	$977.24	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $1,174.90	Professional		$389.05	$549.54	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13