Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.18 / $843.18 / $843.18	Facility		$843.18	$843.18	$843.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.99 / $699.66 / $843.18	Professional		$600.99	$699.66	$843.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,788.02 / $1,788.02 / $1,788.02	Facility		$1,788.02	$1,788.02	$1,788.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,030.84 / $1,629.39 / $2,036.74	Professional		$1,030.84	$1,629.39	$2,036.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $740.52 / $1,015.67 / $4,260.75	Facility		$740.52	$1,015.67	$4,260.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.47 / $807.30 / $1,644.74	Professional		$457.47	$807.30	$1,644.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,157.52 / $1,644.74 / $1,993.38	Facility		$1,157.52	$1,644.74	$1,993.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,644.74 / $2,341.17	Professional		$1,076.40	$1,644.74	$2,341.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,282.71 / $2,161.14 / $2,464.23	Professional		$1,282.71	$2,161.14	$2,464.23
United Facility/Professional Professional Modifier Low / Median / High Price $376.74 / $538.20 / $1,076.40	Professional		$376.74	$538.20	$1,076.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $897.00 / $897.00	Professional		$897.00	$897.00	$897.00