Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.76 / $628.76 / $628.76	Facility		$628.76	$628.76	$628.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.07 / $628.76 / $1,512.15	Professional		$530.07	$628.76	$1,512.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.64 / $1,432.76 / $1,790.96	Professional		$1,100.64	$1,432.76	$1,790.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.61 / $1,051.23 / $1,624.30	Facility		$821.61	$1,051.23	$1,624.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $596.85 / $1,270.09 / $4,673.04	Professional		$596.85	$1,270.09	$4,673.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,159.92 / $1,549.13 / $8,461.12	Facility		$1,159.92	$1,549.13	$8,461.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $932.29 / $1,295.24 / $1,688.46	Professional		$932.29	$1,295.24	$1,688.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $766.15 / $1,060.05 / $1,250.46	Professional		$766.15	$1,060.05	$1,250.46
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 $665.29 / $1,209.61 / $1,717.86	Professional		$665.29	$1,209.61	$1,717.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,240.50 / $1,517.80 / $1,517.80	Professional		$1,240.50	$1,517.80	$1,517.80