Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.69 / $799.69 / $799.69	Facility		$799.69	$799.69	$799.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.69 / $993.56 / $1,138.41	Professional		$799.69	$993.56	$1,138.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $1,400.30	Facility		$596.58	$596.58	$1,400.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.00 / $1,383.75 / $1,383.75	Professional		$1,107.00	$1,383.75	$1,383.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $869.93 / $1,351.48 / $5,050.38	Facility		$869.93	$1,351.48	$5,050.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.41 / $755.42 / $1,192.61	Professional		$464.41	$755.42	$1,192.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,164.32 / $1,400.30 / $1,832.19	Facility		$1,164.32	$1,400.30	$1,832.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,095.97 / $1,419.99 / $2,675.93	Professional		$1,095.97	$1,419.99	$2,675.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $972.35 / $1,138.41 / $1,353.18	Professional		$972.35	$1,138.41	$1,353.18
United Facility/Professional Professional Modifier Low / Median / High Price $372.95 / $743.05 / $1,260.27	Professional		$372.95	$743.05	$1,260.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,247.54 / $1,247.54 / $1,247.54	Professional		$1,247.54	$1,247.54	$1,247.54