Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.14 / $887.93 / $887.93	Facility		$308.14	$887.93	$887.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.67 / $754.94 / $906.94	Professional		$268.67	$754.94	$906.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.91 / $1,014.61 / $2,517.46	Professional		$716.91	$1,014.61	$2,517.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.28 / $1,084.47 / $2,683.24	Facility		$427.28	$1,084.47	$2,683.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,177.26 / $2,705.33 / $10,075.35	Professional		$1,177.26	$2,705.33	$10,075.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $793.61 / $2,141.60 / $7,269.50	Facility		$793.61	$2,141.60	$7,269.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $702.32 / $1,870.45 / $2,379.81	Professional		$702.32	$1,870.45	$2,379.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $530.65 / $1,273.01 / $1,721.45	Professional		$530.65	$1,273.01	$1,721.45
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.26 / $1,820.99 / $2,826.46	Professional		$1,177.26	$1,820.99	$2,826.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $572.10 / $700.00 / $1,864.30	Professional		$572.10	$700.00	$1,864.30