Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.79 / $638.79 / $638.79	Facility		$638.79	$638.79	$638.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $407.74 / $638.79	Professional		$407.74	$407.74	$638.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,354.56 / $1,354.56 / $1,354.56	Facility		$1,354.56	$1,354.56	$1,354.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.98 / $1,234.44 / $1,543.06	Professional		$780.98	$1,234.44	$1,543.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $641.38 / $3,227.96	Facility		$0.02	$641.38	$3,227.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.58 / $611.61 / $1,246.06	Professional		$346.58	$611.61	$1,246.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $876.94 / $1,246.06 / $1,510.20	Facility		$876.94	$1,246.06	$1,510.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $815.48 / $1,246.06 / $1,773.68	Professional		$815.48	$1,246.06	$1,773.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $971.79 / $1,637.29 / $1,866.91	Professional		$971.79	$1,637.29	$1,866.91
United Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $407.74 / $815.48	Professional		$285.42	$407.74	$815.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $679.57 / $679.57	Professional		$679.57	$679.57	$679.57