Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.51 / $713.51 / $713.51	Facility		$713.51	$713.51	$713.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.62 / $570.79 / $786.45	Professional		$544.62	$570.79	$786.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.19 / $1,513.19 / $1,513.19	Facility		$1,513.19	$1,513.19	$1,513.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.26 / $1,378.71 / $1,723.39	Professional		$872.26	$1,378.71	$1,723.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $727.24 / $859.47 / $3,605.49	Facility		$727.24	$859.47	$3,605.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.19 / $683.15 / $1,391.79	Professional		$409.19	$683.15	$1,391.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $979.50 / $1,391.79 / $1,663.52	Facility		$979.50	$1,391.79	$1,663.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $1,391.79 / $1,981.12	Professional		$910.86	$1,391.79	$1,981.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $962.80 / $1,828.78 / $2,085.26	Professional		$962.80	$1,828.78	$2,085.26
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $683.15 / $1,001.95	Professional		$318.80	$683.15	$1,001.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $759.05	Professional		$759.05	$759.05	$759.05