Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $660.69	Professional		$380.19	$512.86	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $977.24	Facility		$524.81	$524.81	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,348.96	Professional		$1,071.52	$1,071.52	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,698.24	Facility		$630.96	$912.01	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $5,495.41	Professional		$363.08	$562.34	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $954.99	Professional		$794.33	$954.99	$954.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,621.81	Professional		$794.33	$794.33	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,202.26	Professional		$758.58	$912.01	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $1,000.00	Professional		$363.08	$467.74	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14