Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $724.44	Professional		$660.69	$660.69	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $346.74 / $436.52	Facility		$169.82	$346.74	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,318.26	Professional		$1,047.13	$1,047.13	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $1,949.84	Facility		$1,096.48	$1,659.59	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $5,888.44	Professional		$1,023.29	$1,096.48	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,318.26	Professional		$1,230.27	$1,318.26	$1,318.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $204.17	Facility		$169.82	$169.82	$204.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $1,737.80	Professional		$125.89	$275.42	$1,737.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69