Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $794.33 / $794.33	Facility		$660.69	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $794.33	Professional		$380.19	$660.69	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,000.00	Facility		$501.19	$501.19	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,380.38	Professional		$1,096.48	$1,096.48	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $2,454.71	Facility		$707.95	$933.25	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $4,570.88	Professional		$363.08	$616.60	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,000.00	Professional		$831.76	$977.24	$1,000.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,621.81	Professional		$831.76	$831.76	$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 / $602.56 / $977.24	Professional		$363.08	$602.56	$977.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25