Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $776.25 / $776.25	Facility		$707.95	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $954.99	Professional		$467.74	$707.95	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,122.02	Facility		$588.84	$588.84	$1,122.02
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 $794.33 / $1,071.52 / $2,570.40	Facility		$794.33	$1,071.52	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $6,165.95	Professional		$389.05	$707.95	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,096.48	Professional		$912.01	$1,096.48	$1,096.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,737.80	Professional		$912.01	$912.01	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,288.25	Professional		$812.83	$977.24	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $1,000.00	Professional		$371.54	$645.65	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24