Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $954.99 / $1,288.25	Professional		$512.86	$954.99	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,513.56	Facility		$812.83	$812.83	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,659.59	Professional		$1,348.96	$1,348.96	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $4,073.80	Facility		$933.25	$1,513.56	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $8,128.31	Professional		$616.60	$870.96	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,513.56	Professional		$1,230.27	$1,479.11	$1,513.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,754.23	Professional		$1,230.27	$1,230.27	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,041.74	Professional		$1,288.25	$1,548.82	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $870.96 / $1,288.25	Professional		$457.09	$870.96	$1,288.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26