Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.63 / $663.63 / $663.63	Facility		$663.63	$663.63	$663.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $796.35	Professional		$663.63	$663.63	$796.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,169.65 / $1,169.65 / $1,462.06	Facility		$1,169.65	$1,169.65	$1,462.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.94 / $732.94 / $916.17	Professional		$732.94	$732.94	$916.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $717.78 / $1,213.05 / $1,249.43	Facility		$717.78	$1,213.05	$1,249.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $717.78 / $717.78 / $3,800.00	Professional		$717.78	$717.78	$3,800.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $861.33 / $1,288.38 / $2,233.19	Facility		$861.33	$1,288.38	$2,233.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $861.33 / $863.24 / $1,200.99	Professional		$861.33	$863.24	$1,200.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $726.23 / $726.23 / $726.23	Professional		$726.23	$726.23	$726.23
United Facility/Professional Professional Modifier Low / Median / High Price $663.63 / $663.63 / $729.99	Professional		$663.63	$663.63	$729.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $717.78 / $717.78 / $717.78	Facility		$717.78	$717.78	$717.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $717.78 / $717.78 / $717.78	Professional		$717.78	$717.78	$717.78