Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $931.96 / $931.96 / $931.96	Facility		$931.96	$931.96	$931.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.96 / $1,137.83 / $1,423.68	Professional		$931.96	$1,137.83	$1,423.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.79 / $719.79 / $1,603.64	Facility		$719.79	$719.79	$1,603.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,290.00 / $1,302.90 / $1,612.50	Professional		$1,290.00	$1,302.90	$1,612.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $996.26 / $1,556.54 / $5,694.72	Facility		$996.26	$1,556.54	$5,694.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.79 / $865.13 / $1,389.91	Professional		$580.79	$865.13	$1,389.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,333.40 / $1,603.64 / $2,098.26	Facility		$1,333.40	$1,603.64	$2,098.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,255.11 / $1,626.21 / $3,064.50	Professional		$1,255.11	$1,626.21	$3,064.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,216.04 / $1,423.68 / $1,692.27	Professional		$1,216.04	$1,423.68	$1,692.27
United Facility/Professional Professional Modifier Low / Median / High Price $427.10 / $727.31 / $1,212.18	Professional		$427.10	$727.31	$1,212.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,428.69 / $1,428.69 / $1,428.69	Professional		$1,428.69	$1,428.69	$1,428.69