Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.72 / $1,050.72 / $1,050.72	Facility		$1,050.72	$1,050.72	$1,050.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.72 / $1,140.91 / $1,373.27	Professional		$1,050.72	$1,140.91	$1,373.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $1,803.48	Facility		$120.00	$120.00	$1,803.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,754.34 / $1,910.25 / $2,387.81	Professional		$1,754.34	$1,910.25	$2,387.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.40 / $1,928.14 / $7,674.31	Facility		$114.40	$1,928.14	$7,674.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $103.21 / $193.33	Professional		$64.51	$103.21	$193.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.08 / $1,803.48 / $2,236.56	Facility		$141.08	$1,803.48	$2,236.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $1,798.20 / $2,236.56	Professional		$141.08	$1,798.20	$2,236.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,588.57 / $1,668.99 / $2,209.08	Professional		$1,588.57	$1,668.99	$2,209.08
United Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $115.20 / $575.10	Professional		$64.51	$115.20	$575.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,475.58 / $1,475.58 / $1,475.58	Professional		$1,475.58	$1,475.58	$1,475.58