Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.80 / $549.80 / $549.80	Facility		$549.80	$549.80	$549.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.88 / $456.22 / $549.80	Professional		$391.88	$456.22	$549.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,165.90 / $1,165.90 / $1,165.90	Facility		$1,165.90	$1,165.90	$1,165.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.95 / $1,062.10 / $1,327.63	Professional		$671.95	$1,062.10	$1,327.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $552.02 / $662.28 / $2,778.28	Facility		$552.02	$662.28	$2,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $526.41 / $1,203.50	Professional		$350.94	$526.41	$1,203.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $754.78 / $1,191.64 / $1,594.63	Facility		$754.78	$1,191.64	$1,594.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $1,191.64 / $1,585.41	Professional		$701.88	$1,191.64	$1,585.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $836.41 / $1,409.20 / $1,606.84	Professional		$836.41	$1,409.20	$1,606.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $526.41 / $701.88	Professional		$245.66	$526.41	$701.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $584.90	Professional		$584.90	$584.90	$584.90