Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.02 / $855.02 / $855.02	Facility		$855.02	$855.02	$855.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.45 / $855.02 / $936.64	Professional		$796.45	$855.02	$936.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $510.69 / $1,122.50	Facility		$510.69	$510.69	$1,122.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.50 / $1,183.50 / $1,479.38	Professional		$1,183.50	$1,183.50	$1,479.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $697.34 / $1,444.98 / $3,998.55	Facility		$697.34	$1,444.98	$3,998.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $382.10 / $637.99 / $1,166.50	Professional		$382.10	$637.99	$1,166.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $933.33 / $1,122.50 / $1,568.41	Facility		$933.33	$1,122.50	$1,568.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $737.77 / $1,138.28 / $2,145.05	Professional		$737.77	$1,138.28	$2,145.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $800.04 / $936.64 / $1,113.34	Professional		$800.04	$936.64	$1,113.34
United Facility/Professional Professional Modifier Low / Median / High Price $319.26 / $614.34 / $970.01	Professional		$319.26	$614.34	$970.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $918.41 / $918.41 / $918.41	Professional		$918.41	$918.41	$918.41