Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.80 / $676.80 / $676.80	Facility		$676.80	$676.80	$676.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $676.80 / $676.80	Professional		$561.60	$676.80	$676.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,435.51 / $1,435.51 / $1,435.51	Facility		$1,435.51	$1,435.51	$1,435.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.05 / $1,307.56 / $1,634.45	Professional		$1,034.05	$1,307.56	$1,634.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $679.54 / $815.26 / $1,321.78	Facility		$679.54	$815.26	$1,321.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.20 / $648.00 / $1,411.68	Professional		$367.20	$648.00	$1,411.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $929.11 / $1,370.68 / $1,843.20	Facility		$929.11	$1,370.68	$1,843.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $1,397.52 / $1,577.94	Professional		$864.00	$1,397.52	$1,577.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,029.59 / $1,734.70 / $1,977.98	Professional		$1,029.59	$1,734.70	$1,977.98
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $367.20 / $720.00	Professional		$302.39	$367.20	$720.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00