Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.98 / $947.98 / $947.98	Facility		$947.98	$947.98	$947.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.98 / $972.02 / $1,113.25	Professional		$947.98	$972.02	$1,113.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,276.54 / $1,276.54 / $1,276.54	Facility		$1,276.54	$1,276.54	$1,276.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.13 / $1,325.25 / $1,640.16	Professional		$1,312.13	$1,325.25	$1,640.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $793.05 / $1,602.09 / $5,682.97	Facility		$793.05	$1,602.09	$5,682.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $454.15 / $627.07 / $1,278.69	Professional		$454.15	$627.07	$1,278.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,276.54 / $1,276.54 / $2,262.96	Facility		$1,276.54	$1,276.54	$2,262.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $971.74 / $971.74 / $1,155.80	Professional		$971.74	$971.74	$1,155.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $950.89 / $1,113.25 / $1,323.28	Professional		$950.89	$1,113.25	$1,323.28
United Facility/Professional Professional Modifier Low / Median / High Price $420.85 / $578.95 / $954.76	Professional		$420.85	$578.95	$954.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,964.00 / $2,964.00 / $2,964.00	Professional		$2,964.00	$2,964.00	$2,964.00