Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.21 / $790.21 / $790.21	Facility		$790.21	$790.21	$790.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.24 / $790.21 / $790.21	Professional		$563.24	$790.21	$790.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.74 / $1,675.74 / $1,675.74	Facility		$1,675.74	$1,675.74	$1,675.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.67 / $1,526.90 / $1,908.62	Professional		$975.67	$1,526.90	$1,908.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $793.41 / $951.88 / $3,993.09	Facility		$793.41	$951.88	$3,993.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $428.73 / $756.59 / $1,260.98	Professional		$428.73	$756.59	$1,260.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,008.78 / $1,537.34 / $1,654.34	Facility		$1,008.78	$1,537.34	$1,654.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,009.62 / $1,654.34 / $2,194.10	Professional		$1,009.62	$1,654.34	$2,194.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $2,025.38 / $2,309.42	Professional		$840.65	$2,025.38	$2,309.42
United Facility/Professional Professional Modifier Low / Median / High Price $353.07 / $756.59 / $840.65	Professional		$353.07	$756.59	$840.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $840.65 / $840.65	Professional		$840.65	$840.65	$840.65