Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.10 / $578.10 / $578.10	Facility		$578.10	$578.10	$578.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.39 / $578.10 / $1,388.30	Professional		$487.39	$578.10	$1,388.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.47 / $1,316.68 / $1,645.85	Professional		$1,011.47	$1,316.68	$1,645.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $753.16 / $970.49 / $1,487.12	Facility		$753.16	$970.49	$1,487.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $543.57 / $1,165.79 / $4,294.80	Professional		$543.57	$1,165.79	$4,294.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,066.17 / $1,423.73 / $3,711.03	Facility		$1,066.17	$1,423.73	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $855.30 / $1,184.93 / $1,550.94	Professional		$855.30	$1,184.93	$1,550.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $705.79 / $970.39 / $1,148.25	Professional		$705.79	$970.39	$1,148.25
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 $610.65 / $1,110.28 / $1,587.70	Professional		$610.65	$1,110.28	$1,587.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,139.09 / $1,393.70 / $1,393.70	Professional		$1,139.09	$1,393.70	$1,393.70