Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.04 / $562.04 / $562.04	Facility		$562.04	$562.04	$562.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.60 / $466.37 / $562.04	Professional		$400.60	$466.37	$562.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.01 / $1,192.01 / $1,192.01	Facility		$1,192.01	$1,192.01	$1,192.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $858.52 / $1,085.60 / $1,357.01	Professional		$858.52	$1,085.60	$1,357.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $564.30 / $677.01 / $1,097.64	Facility		$564.30	$677.01	$1,097.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.93 / $358.75 / $1,172.30	Professional		$304.93	$358.75	$1,172.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $771.56 / $976.99 / $1,310.36	Facility		$771.56	$976.99	$1,310.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $717.49 / $1,160.41 / $1,310.36	Professional		$717.49	$1,160.41	$1,310.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $855.01 / $1,440.54 / $1,642.58	Professional		$855.01	$1,440.54	$1,642.58
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $304.93 / $597.91	Professional		$251.12	$304.93	$597.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Professional		$597.91	$597.91	$597.91