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 $676.80 / $676.80 / $676.80	Professional		$676.80	$676.80	$676.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.51 / $1,307.56 / $1,634.45	Professional		$835.51	$1,307.56	$1,634.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $679.54 / $815.26 / $3,420.00	Facility		$679.54	$815.26	$3,420.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.20 / $648.00 / $1,080.00	Professional		$367.20	$648.00	$1,080.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $1,260.00 / $1,416.96	Facility		$864.00	$1,260.00	$1,416.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $1,260.00 / $1,416.96	Professional		$864.00	$1,260.00	$1,416.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,734.70 / $1,977.98	Professional		$720.00	$1,734.70	$1,977.98
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $864.00	Professional		$302.39	$432.00	$864.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00