Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.21 / $790.21 / $790.21	Facility		$790.21	$790.21	$790.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.24 / $655.71 / $790.21	Professional		$563.24	$655.71	$790.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.74 / $1,675.74 / $1,675.74	Facility		$1,675.74	$1,675.74	$1,675.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,526.90 / $1,908.62	Professional		$966.01	$1,526.90	$1,908.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $793.41 / $951.88 / $3,993.09	Facility		$793.41	$951.88	$3,993.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.20 / $756.59 / $1,541.42	Professional		$301.20	$756.59	$1,541.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $956.79 / $1,173.83 / $1,842.36	Facility		$956.79	$1,173.83	$1,842.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $956.79 / $1,167.04 / $2,194.10	Professional		$956.79	$1,167.04	$2,194.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $2,025.38 / $2,309.42	Professional		$840.65	$2,025.38	$2,309.42
United Facility/Professional Professional Modifier Low / Median / High Price $301.20 / $504.39 / $885.92	Professional		$301.20	$504.39	$885.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $840.65 / $840.65	Professional		$840.65	$840.65	$840.65