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 $821.96 / $1,062.10 / $1,327.63	Professional		$821.96	$1,062.10	$1,327.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $552.02 / $662.28 / $1,073.75	Facility		$552.02	$662.28	$1,073.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $368.27 / $1,191.64	Professional		$350.94	$368.27	$1,191.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $754.78 / $1,191.64 / $1,497.34	Facility		$754.78	$1,191.64	$1,497.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $1,191.64 / $1,281.84	Professional		$701.88	$1,191.64	$1,281.84
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 / $368.27 / $772.07	Professional		$245.66	$368.27	$772.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $584.90	Professional		$584.90	$584.90	$584.90