Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.28 / $784.28 / $784.28	Facility		$784.28	$784.28	$784.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.20 / $784.28 / $990.33	Professional		$669.20	$784.28	$990.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $943.16	Facility		$663.31	$663.31	$943.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.63 / $1,085.63 / $1,357.03	Professional		$1,085.63	$1,085.63	$1,357.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $594.10 / $1,029.94 / $4,017.59	Facility		$594.10	$1,029.94	$4,017.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $395.49 / $632.40 / $1,003.08	Professional		$395.49	$632.40	$1,003.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $784.21 / $943.16 / $1,459.55	Facility		$784.21	$943.16	$1,459.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $853.95 / $956.42 / $1,818.02	Professional		$853.95	$956.42	$1,818.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $845.90 / $990.33 / $1,177.18	Professional		$845.90	$990.33	$1,177.18
United Facility/Professional Professional Modifier Low / Median / High Price $373.03 / $646.41 / $1,076.80	Professional		$373.03	$646.41	$1,076.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $840.27 / $840.27 / $840.27	Professional		$840.27	$840.27	$840.27