Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.72 / $669.72 / $669.72	Facility		$669.72	$669.72	$669.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.35 / $669.72 / $669.72	Professional		$477.35	$669.72	$669.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.17 / $1,294.50 / $1,618.13	Professional		$827.17	$1,294.50	$1,618.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $672.43 / $806.72 / $3,384.23	Facility		$672.43	$806.72	$3,384.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.36 / $641.22 / $1,068.71	Professional		$363.36	$641.22	$1,068.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $854.96 / $1,246.82 / $1,402.14	Facility		$854.96	$1,246.82	$1,402.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $854.96 / $1,246.82 / $1,561.44	Professional		$854.96	$1,246.82	$1,561.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $712.47 / $1,716.55 / $1,957.30	Professional		$712.47	$1,716.55	$1,957.30
United Facility/Professional Professional Modifier Low / Median / High Price $299.24 / $641.22 / $712.47	Professional		$299.24	$641.22	$712.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $712.47 / $712.47 / $712.47	Professional		$712.47	$712.47	$712.47