Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.84 / $879.84 / $879.84	Facility		$879.84	$879.84	$879.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.12 / $730.08 / $879.84	Professional		$627.12	$730.08	$879.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,866.36 / $1,866.36 / $1,866.36	Facility		$1,866.36	$1,866.36	$1,866.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.86 / $1,700.54 / $2,125.67	Professional		$1,075.86	$1,700.54	$2,125.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $883.40 / $4,446.00	Facility		$0.02	$883.40	$4,446.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.36 / $842.40 / $1,716.25	Professional		$477.36	$842.40	$1,716.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,207.84 / $1,716.25 / $2,080.04	Facility		$1,207.84	$1,716.25	$2,080.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,123.20 / $1,716.25 / $2,442.96	Professional		$1,123.20	$1,716.25	$2,442.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,338.48 / $2,255.10 / $2,571.38	Professional		$1,338.48	$2,255.10	$2,571.38
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $561.60 / $1,123.20	Professional		$393.12	$561.60	$1,123.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $936.00 / $936.00	Professional		$936.00	$936.00	$936.00