Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.81 / $674.81 / $674.81	Facility		$674.81	$674.81	$674.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.76 / $674.81 / $1,735.50	Professional		$568.76	$674.81	$1,735.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.83 / $1,537.16 / $1,921.46	Professional		$1,180.83	$1,537.16	$1,921.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $817.02 / $1,140.43 / $1,714.84	Facility		$817.02	$1,140.43	$1,714.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $649.37 / $1,344.95 / $5,539.88	Professional		$649.37	$1,344.95	$5,539.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,243.64 / $1,660.31 / $8,250.46	Facility		$1,243.64	$1,660.31	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $986.77 / $1,441.01 / $1,807.76	Professional		$986.77	$1,441.01	$1,807.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $813.10 / $1,119.04 / $1,339.73	Professional		$813.10	$1,119.04	$1,339.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.37 / $1,165.93 / $1,813.67	Professional		$649.37	$1,165.93	$1,813.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,329.10 / $1,626.10 / $1,626.10	Professional		$1,329.10	$1,626.10	$1,626.10