Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.49 / $795.49 / $795.49	Facility		$795.49	$795.49	$795.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $660.09 / $795.49	Professional		$567.00	$660.09	$795.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,687.49 / $1,687.49 / $1,687.49	Facility		$1,687.49	$1,687.49	$1,687.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.24 / $1,536.69 / $1,920.86	Professional		$1,189.24	$1,536.69	$1,920.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $798.71 / $958.23 / $1,553.58	Facility		$798.71	$958.23	$1,553.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.60 / $507.76 / $1,551.72	Professional		$431.60	$507.76	$1,551.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,092.05 / $1,551.72 / $2,166.44	Facility		$1,092.05	$1,551.72	$2,166.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,015.52 / $1,551.72 / $1,854.68	Professional		$1,015.52	$1,551.72	$1,854.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,210.17 / $2,038.92 / $2,324.87	Professional		$1,210.17	$2,038.92	$2,324.87
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $431.60 / $846.27	Professional		$355.43	$431.60	$846.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $846.27	Professional		$846.27	$846.27	$846.27