Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.17 / $549.17 / $549.17	Facility		$549.17	$549.17	$549.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.43 / $455.70 / $549.17	Professional		$391.43	$455.70	$549.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,164.59 / $1,164.59 / $1,164.59	Facility		$1,164.59	$1,164.59	$1,164.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.95 / $1,060.80 / $1,326.00	Professional		$820.95	$1,060.80	$1,326.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $551.39 / $661.52 / $1,072.52	Facility		$551.39	$661.52	$1,072.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $350.54 / $1,071.24	Professional		$297.95	$350.54	$1,071.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $753.91 / $1,071.24 / $1,495.63	Facility		$753.91	$1,071.24	$1,495.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $701.08 / $1,071.24 / $1,280.38	Professional		$701.08	$1,071.24	$1,280.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $835.45 / $1,407.59 / $1,605.00	Professional		$835.45	$1,407.59	$1,605.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $297.95 / $584.23	Professional		$245.38	$297.95	$584.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $584.23 / $584.23	Professional		$584.23	$584.23	$584.23