Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.30 / $747.30 / $747.30	Facility		$747.30	$747.30	$747.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.65 / $620.10 / $747.30	Professional		$532.65	$620.10	$747.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,585.00 / $1,585.00 / $1,585.00	Facility		$1,585.00	$1,585.00	$1,585.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.56 / $1,443.99 / $1,804.99	Professional		$913.56	$1,443.99	$1,804.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $761.69 / $1,388.48 / $3,776.25	Facility		$761.69	$1,388.48	$3,776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.45 / $715.50 / $1,457.71	Professional		$405.45	$715.50	$1,457.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,025.89 / $1,457.71 / $1,766.71	Facility		$1,025.89	$1,457.71	$1,766.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.00 / $1,457.71 / $2,074.94	Professional		$954.00	$1,457.71	$2,074.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,136.84 / $1,915.39 / $2,184.02	Professional		$1,136.84	$1,915.39	$2,184.02
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $477.00 / $954.00	Professional		$333.90	$477.00	$954.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $795.00 / $795.00	Professional		$795.00	$795.00	$795.00