Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.40 / $714.40 / $714.40	Facility		$714.40	$714.40	$714.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.20 / $592.79 / $714.40	Professional		$509.20	$592.79	$714.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,515.15 / $1,515.15 / $1,515.15	Facility		$1,515.15	$1,515.15	$1,515.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.86 / $1,380.67 / $1,725.84	Professional		$1,091.86	$1,380.67	$1,725.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $717.29 / $860.55 / $1,395.21	Facility		$717.29	$860.55	$1,395.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $387.60 / $456.00 / $1,495.45	Professional		$387.60	$456.00	$1,495.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $980.73 / $1,389.85 / $1,945.60	Facility		$980.73	$1,389.85	$1,945.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,389.85 / $1,665.61	Professional		$912.00	$1,389.85	$1,665.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,086.80 / $1,831.07 / $2,087.87	Professional		$1,086.80	$1,831.07	$2,087.87
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $387.60 / $760.00	Professional		$319.20	$387.60	$760.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Professional		$760.00	$760.00	$760.00