Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.92 / $739.92 / $739.92	Facility		$739.92	$739.92	$739.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.98 / $739.92 / $739.92	Professional		$613.98	$739.92	$739.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.58 / $1,429.63 / $1,787.04	Professional		$1,130.58	$1,429.63	$1,787.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $742.91 / $891.29 / $1,445.05	Facility		$742.91	$891.29	$1,445.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.45 / $472.29 / $1,549.11	Professional		$401.45	$472.29	$1,549.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $944.58 / $1,023.30 / $1,725.10	Facility		$944.58	$1,023.30	$1,725.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $944.58 / $1,196.47 / $1,621.53	Professional		$944.58	$1,196.47	$1,621.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,125.61 / $1,896.48 / $2,162.46	Professional		$1,125.61	$1,896.48	$2,162.46
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $401.45 / $787.15	Professional		$330.60	$401.45	$787.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $787.15 / $787.15	Professional		$787.15	$787.15	$787.15