Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.72 / $807.72 / $807.72	Facility		$807.72	$807.72	$807.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.33 / $685.28 / $807.72	Professional		$663.33	$685.28	$807.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $1,199.97	Facility		$751.98	$751.98	$1,199.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,347.75 / $1,347.75 / $1,684.69	Professional		$1,347.75	$1,347.75	$1,684.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $745.48 / $1,121.03 / $5,145.80	Facility		$745.48	$1,121.03	$5,145.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $386.58 / $618.53 / $1,196.45	Professional		$386.58	$618.53	$1,196.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $997.76 / $1,199.97 / $1,862.15	Facility		$997.76	$1,199.97	$1,862.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $982.79 / $1,216.86 / $2,293.11	Professional		$982.79	$1,216.86	$2,293.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $809.41 / $947.62 / $1,126.39	Professional		$809.41	$947.62	$1,126.39
United Facility/Professional Professional Modifier Low / Median / High Price $379.05 / $564.79 / $1,151.69	Professional		$379.05	$564.79	$1,151.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,036.33 / $1,036.33 / $1,036.33	Professional		$1,036.33	$1,036.33	$1,036.33