Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.59 / $650.20 / $650.20	Facility		$539.59	$650.20	$650.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.18 / $650.20 / $1,269.78	Professional		$452.18	$650.20	$1,269.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.58 / $1,479.51 / $1,849.39	Professional		$1,075.58	$1,479.51	$1,849.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $764.18 / $991.25 / $1,751.31	Facility		$764.18	$991.25	$1,751.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $781.67 / $1,688.46 / $5,790.42	Professional		$781.67	$1,688.46	$5,790.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,187.94 / $1,572.87 / $5,042.04	Facility		$1,187.94	$1,572.87	$5,042.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,176.83 / $1,418.40 / $1,687.79	Professional		$1,176.83	$1,418.40	$1,687.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $746.57 / $1,046.04 / $1,338.52	Professional		$746.57	$1,046.04	$1,338.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.67 / $1,264.92 / $2,010.08	Professional		$781.67	$1,264.92	$2,010.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,037.70 / $1,269.70 / $1,510.70	Professional		$1,037.70	$1,269.70	$1,510.70