Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Facility		$915.09	$915.09	$915.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $915.09	Professional		$915.09	$915.09	$915.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.30 / $763.30 / $954.13	Facility		$763.30	$763.30	$954.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.26 / $630.33 / $633.61	Professional		$504.26	$630.33	$633.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $1,103.00 / $1,668.00	Facility		$652.66	$1,103.00	$1,668.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $652.66 / $652.66 / $3,610.00	Professional		$652.66	$652.66	$3,610.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $593.92 / $731.58 / $1,268.07	Facility		$593.92	$731.58	$1,268.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $593.92 / $783.20 / $783.20	Professional		$593.92	$783.20	$783.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,001.42 / $1,001.42 / $1,001.42	Professional		$1,001.42	$1,001.42	$1,001.42
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,006.60	Professional		$915.09	$915.09	$1,006.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $652.66 / $652.66	Facility		$652.66	$652.66	$652.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $652.66 / $652.66 / $652.66	Professional		$652.66	$652.66	$652.66