Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.84 / $855.94 / $855.94	Facility		$704.84	$855.94	$855.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.44 / $745.91 / $1,258.00	Professional		$616.44	$745.91	$1,258.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.87 / $2,010.86 / $2,513.57	Professional		$1,510.87	$2,010.86	$2,513.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $881.51 / $1,241.51 / $2,292.46	Facility		$881.51	$1,241.51	$2,292.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $791.03 / $2,182.33 / $6,525.60	Professional		$791.03	$2,182.33	$6,525.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $2,020.81 / $3,929.20	Facility		$1,347.00	$2,020.81	$3,929.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,234.00 / $1,826.14 / $2,350.54	Professional		$1,234.00	$1,826.14	$2,350.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $894.96 / $1,440.87 / $1,727.22	Professional		$894.96	$1,440.87	$1,727.22
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 $791.03 / $1,574.14 / $2,448.66	Professional		$791.03	$1,574.14	$2,448.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,324.50 / $1,620.50 / $1,936.80	Professional		$1,324.50	$1,620.50	$1,936.80