Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.01 / $766.77 / $766.77	Facility		$696.01	$766.77	$766.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.66 / $696.01 / $766.77	Professional		$606.66	$696.01	$766.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.51 / $1,792.71 / $2,240.89	Professional		$1,454.51	$1,792.71	$2,240.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $871.48 / $1,172.50 / $1,845.11	Facility		$871.48	$1,172.50	$1,845.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $719.62 / $1,811.39 / $5,854.96	Professional		$719.62	$1,811.39	$5,854.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,223.00 / $1,809.79 / $3,929.20	Facility		$1,223.00	$1,809.79	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,345.66 / $1,668.74 / $2,182.58	Professional		$1,345.66	$1,668.74	$2,182.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $781.60 / $1,215.28 / $1,554.50	Professional		$781.60	$1,215.28	$1,554.50
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 $707.40 / $1,424.11 / $2,215.28	Professional		$707.40	$1,424.11	$2,215.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,310.30 / $1,603.10 / $1,743.10	Professional		$1,310.30	$1,603.10	$1,743.10