Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Facility		$656.12	$656.12	$656.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $656.12	Professional		$656.12	$656.12	$656.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.40 / $346.40 / $433.00	Facility		$346.40	$346.40	$433.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.58 / $1,049.58 / $1,311.98	Professional		$1,049.58	$1,049.58	$1,311.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,090.07 / $1,842.22 / $1,897.48	Facility		$1,090.07	$1,842.22	$1,897.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,030.14 / $1,090.07 / $5,838.00	Professional		$1,030.14	$1,090.07	$5,838.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $845.27 / $947.79 / $1,308.08	Facility		$845.27	$947.79	$1,308.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $1,236.17 / $1,308.08	Professional		$199.52	$1,236.17	$1,308.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $718.02 / $718.02 / $718.02	Professional		$718.02	$718.02	$718.02
United Facility/Professional Professional Modifier Low / Median / High Price $656.12 / $656.12 / $721.73	Professional		$656.12	$656.12	$721.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,090.07 / $1,090.07 / $1,090.07	Facility		$1,090.07	$1,090.07	$1,090.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,090.07 / $1,090.07 / $1,090.07	Professional		$1,090.07	$1,090.07	$1,090.07