Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.16 / $859.16 / $859.16	Facility		$859.16	$859.16	$859.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.38 / $712.92 / $859.16	Professional		$612.38	$712.92	$859.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,821.96 / $1,821.96 / $1,821.96	Facility		$1,821.96	$1,821.96	$1,821.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.26 / $1,660.07 / $2,075.09	Professional		$1,050.26	$1,660.07	$2,075.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $875.70 / $1,210.19 / $4,341.50	Facility		$875.70	$1,210.19	$4,341.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $466.14 / $822.60 / $1,675.91	Professional		$466.14	$822.60	$1,675.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,179.45 / $1,675.91 / $2,339.84	Facility		$1,179.45	$1,675.91	$2,339.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.80 / $1,675.91 / $2,385.54	Professional		$1,096.80	$1,675.91	$2,385.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,307.02 / $2,202.10 / $2,510.94	Professional		$1,307.02	$2,202.10	$2,510.94
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $548.40 / $1,096.80	Professional		$383.88	$548.40	$1,096.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $914.00 / $914.00	Professional		$914.00	$914.00	$914.00