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 $1,498.36 / $2,368.36 / $2,960.45	Professional		$1,498.36	$2,368.36	$2,960.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $552.02 / $6,102.49	Facility		$0.02	$552.02	$6,102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $526.41 / $1,564.74	Professional		$350.94	$526.41	$1,564.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $754.78 / $1,299.77 / $1,695.14	Facility		$754.78	$1,299.77	$1,695.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $754.78 / $1,281.84 / $1,579.59	Professional		$754.78	$1,281.84	$1,579.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $836.41 / $3,044.85 / $3,582.21	Professional		$836.41	$3,044.85	$3,582.21
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $526.41 / $1,564.74	Professional		$245.66	$526.41	$1,564.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $1,303.95	Professional		$1,303.95	$1,303.95	$1,303.95