Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,122.02	Professional		$616.60	$870.96	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,698.24	Facility		$891.25	$891.25	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,995.26	Professional		$1,584.89	$1,584.89	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $2,884.03	Facility		$1,047.13	$1,548.82	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $8,128.31	Professional		$616.60	$954.99	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $1,659.59	Professional		$1,380.38	$1,659.59	$1,659.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,754.23	Professional		$1,380.38	$1,380.38	$2,754.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $2,041.74	Professional		$1,288.25	$1,548.82	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,479.11	Professional		$549.54	$794.33	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11