Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $851.14	Professional		$338.84	$630.96	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $891.25	Facility		$575.44	$575.44	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,288.25	Professional		$1,023.29	$1,023.29	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,000.00 / $2,754.23	Facility		$616.60	$1,000.00	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $5,128.61	Professional		$371.54	$588.84	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $891.25	Professional		$741.31	$870.96	$891.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,819.70	Professional		$741.31	$741.31	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,348.96	Professional		$851.14	$1,023.29	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $912.01	Professional		$354.81	$575.44	$912.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33