Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.01 / $735.01 / $735.01	Facility		$735.01	$735.01	$735.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.54 / $735.01 / $866.36	Professional		$681.54	$735.01	$866.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.54 / $624.54 / $960.55	Facility		$624.54	$624.54	$960.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,017.38 / $1,017.38 / $1,271.72	Professional		$1,017.38	$1,017.38	$1,271.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.78 / $1,242.17 / $4,086.48	Facility		$652.78	$1,242.17	$4,086.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.43 / $590.12 / $998.20	Professional		$353.43	$590.12	$998.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $798.69 / $960.55 / $1,504.40	Facility		$798.69	$960.55	$1,504.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $786.70 / $974.08 / $1,835.59	Professional		$786.70	$974.08	$1,835.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $740.00 / $866.36 / $1,029.80	Professional		$740.00	$866.36	$1,029.80
United Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $521.46 / $737.65	Professional		$306.22	$521.46	$737.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $855.77 / $855.77 / $855.77	Professional		$855.77	$855.77	$855.77