Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.21 / $692.21 / $692.21	Facility		$692.21	$692.21	$692.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.42 / $692.21 / $1,580.98	Professional		$574.42	$692.21	$1,580.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.34 / $1,551.19 / $1,938.99	Professional		$1,198.34	$1,551.19	$1,938.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.43 / $1,127.67 / $1,958.32	Facility		$821.43	$1,127.67	$1,958.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $744.32 / $1,507.81 / $5,007.80	Professional		$744.32	$1,507.81	$5,007.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,248.22 / $1,757.08 / $7,030.81	Facility		$1,248.22	$1,757.08	$7,030.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,140.30 / $1,477.42 / $1,818.30	Professional		$1,140.30	$1,477.42	$1,818.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $800.28 / $1,151.82 / $1,313.21	Professional		$800.28	$1,151.82	$1,313.21
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 $800.96 / $1,453.88 / $1,834.31	Professional		$800.96	$1,453.88	$1,834.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,302.80 / $1,594.00 / $1,594.00	Professional		$1,302.80	$1,594.00	$1,594.00