Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,548.82	Professional		$645.65	$870.96	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,630.27	Professional		$1,479.11	$2,089.30	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,238.72	Facility		$1,000.00	$1,412.54	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,949.84 / $6,456.54	Professional		$891.25	$1,949.84	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,187.76	Professional		$1,584.89	$1,819.70	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,187.76	Professional		$1,548.82	$1,819.70	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,737.80	Professional		$1,071.52	$1,479.11	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $2,511.89	Professional		$891.25	$1,513.56	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,089.30	Professional		$1,380.38	$1,698.24	$2,089.30