Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.53 / $744.57 / $744.57	Facility		$616.53	$744.57	$744.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $616.53 / $1,129.83	Professional		$508.76	$616.53	$1,129.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.74 / $1,663.17 / $2,079.21	Professional		$1,183.74	$1,663.17	$2,079.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.83 / $1,037.54 / $1,682.17	Facility		$730.83	$1,037.54	$1,682.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $664.19 / $1,569.60 / $5,257.76	Professional		$664.19	$1,569.60	$5,257.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,119.78 / $1,450.48 / $1,837.71	Facility		$1,119.78	$1,450.48	$1,837.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,119.78 / $1,414.72 / $1,837.71	Professional		$1,119.78	$1,414.72	$1,837.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $722.48 / $1,146.31 / $1,376.60	Professional		$722.48	$1,146.31	$1,376.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,962.56	Facility		$2,000.00	$2,000.00	$2,962.56
United Facility/Professional Professional Modifier Low / Median / High Price $614.82 / $1,256.81 / $1,955.04	Professional		$614.82	$1,256.81	$1,955.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,137.20 / $1,391.40 / $1,670.90	Professional		$1,137.20	$1,391.40	$1,670.90