Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,148.15	Professional		$1,047.13	$1,047.13	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $407.38 / $512.86	Facility		$169.82	$407.38	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $380.19	Professional		$309.03	$363.08	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,548.82	Facility		$870.96	$1,318.26	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,318.26	Professional		$741.31	$870.96	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,047.13 / $1,047.13	Professional		$363.08	$1,047.13	$1,047.13
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 $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $1,000.00	Professional		$125.89	$275.42	$1,000.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13