Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.64 / $793.64 / $793.64	Facility		$793.64	$793.64	$793.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.22 / $793.64 / $1,107.28	Professional		$718.22	$793.64	$1,107.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.94 / $612.94 / $1,012.24	Facility		$612.94	$612.94	$1,012.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.38 / $1,098.38 / $1,372.97	Professional		$1,098.38	$1,098.38	$1,372.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.15 / $1,151.54 / $4,719.35	Facility		$707.15	$1,151.54	$4,719.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.46 / $692.61 / $1,133.84	Professional		$424.46	$692.61	$1,133.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $841.67 / $1,012.24 / $1,679.84	Facility		$841.67	$1,012.24	$1,679.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $916.51 / $1,026.49 / $2,032.67	Professional		$916.51	$1,026.49	$2,032.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $945.77 / $1,107.28 / $1,316.17	Professional		$945.77	$1,107.28	$1,316.17
United Facility/Professional Professional Modifier Low / Median / High Price $341.94 / $582.27 / $942.77	Professional		$341.94	$582.27	$942.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $901.82 / $901.82 / $901.82	Professional		$901.82	$901.82	$901.82