Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.76 / $819.76 / $819.76	Facility		$819.76	$819.76	$819.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.77 / $775.77 / $819.76	Professional		$733.77	$775.77	$819.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.36 / $644.36 / $1,093.35	Facility		$644.36	$644.36	$1,093.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.56 / $1,134.75 / $1,418.44	Professional		$1,063.56	$1,134.75	$1,418.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $679.25 / $966.31 / $4,034.25	Facility		$679.25	$966.31	$4,034.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $499.81 / $1,088.42	Professional		$299.33	$499.81	$1,088.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $909.11 / $1,093.35 / $1,441.92	Facility		$909.11	$1,093.35	$1,441.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $862.52 / $1,108.74 / $2,089.39	Professional		$862.52	$1,108.74	$2,089.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $626.75 / $733.77 / $872.20	Professional		$626.75	$733.77	$872.20
United Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $499.81 / $891.78	Professional		$293.51	$499.81	$891.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $974.08 / $974.08 / $974.08	Professional		$974.08	$974.08	$974.08