Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Facility		$713.50	$713.50	$713.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $713.50	Professional		$713.50	$713.50	$713.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,752.60 / $1,752.60 / $2,190.75	Facility		$1,752.60	$1,752.60	$2,190.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $993.68 / $1,003.61 / $1,242.08	Professional		$993.68	$1,003.61	$1,242.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $941.46 / $1,591.07 / $1,638.79	Facility		$941.46	$1,591.07	$1,638.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $941.46 / $941.46 / $5,654.61	Professional		$941.46	$941.46	$5,654.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,129.75 / $1,501.90 / $1,921.10	Facility		$1,129.75	$1,501.90	$1,921.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,129.75 / $1,170.31 / $1,460.04	Professional		$1,129.75	$1,170.31	$1,460.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $780.81 / $780.81 / $780.81	Professional		$780.81	$780.81	$780.81
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $713.50 / $784.85	Professional		$713.50	$713.50	$784.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $941.46 / $941.46 / $941.46	Facility		$941.46	$941.46	$941.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $941.46 / $941.46 / $941.46	Professional		$941.46	$941.46	$941.46