Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.91 / $704.85 / $704.85	Facility		$573.91	$704.85	$704.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.23 / $609.32 / $704.85	Professional		$501.23	$609.32	$704.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.79 / $1,639.23 / $2,049.03	Professional		$1,227.79	$1,639.23	$2,049.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $720.02 / $1,029.75 / $1,752.04	Facility		$720.02	$1,029.75	$1,752.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $652.96 / $1,502.39 / $5,312.80	Professional		$652.96	$1,502.39	$5,312.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $1,578.60 / $2,246.28	Facility		$1,165.00	$1,578.60	$2,246.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,177.22 / $1,502.39 / $1,896.24	Professional		$1,177.22	$1,502.39	$1,896.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $734.34 / $1,115.50 / $1,403.13	Professional		$734.34	$1,115.50	$1,403.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.84 / $1,285.96 / $2,000.38	Professional		$715.84	$1,285.96	$2,000.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,076.09 / $1,316.60 / $1,573.40	Professional		$1,076.09	$1,316.60	$1,573.40