Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.02 / $855.17 / $855.17	Facility		$729.02	$855.17	$855.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.41 / $739.64 / $855.17	Professional		$637.41	$739.64	$855.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.56 / $1,986.71 / $2,483.38	Professional		$1,562.56	$1,986.71	$2,483.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $915.64 / $1,274.82 / $2,199.16	Facility		$915.64	$1,274.82	$2,199.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $816.50 / $1,960.64 / $6,484.16	Professional		$816.50	$1,960.64	$6,484.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,424.00 / $2,011.55 / $3,929.20	Facility		$1,424.00	$2,011.55	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,564.07 / $1,909.73 / $2,345.09	Professional		$1,564.07	$1,909.73	$2,345.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $927.86 / $1,390.74 / $1,697.47	Professional		$927.86	$1,390.74	$1,697.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.67 / $1,714.94 / $2,425.75	Professional		$991.67	$1,714.94	$2,425.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,357.10 / $1,660.40 / $1,903.40	Professional		$1,357.10	$1,660.40	$1,903.40