Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.25 / $733.25 / $733.25	Facility		$733.25	$733.25	$733.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.47 / $733.25 / $1,834.65	Professional		$619.47	$733.25	$1,834.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,331.66 / $1,733.50 / $2,166.87	Professional		$1,331.66	$1,733.50	$2,166.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $945.81 / $1,239.19 / $1,885.15	Facility		$945.81	$1,239.19	$1,885.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $716.22 / $1,489.68 / $5,479.44	Professional		$716.22	$1,489.68	$5,479.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,096.21 / $1,688.09 / $2,292.14	Facility		$1,096.21	$1,688.09	$2,292.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.21 / $1,529.02 / $1,983.52	Professional		$1,096.21	$1,529.02	$1,983.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $893.72 / $1,228.76 / $1,516.33	Professional		$893.72	$1,228.76	$1,516.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.81 / $1,302.39 / $2,025.94	Professional		$680.81	$1,302.39	$2,025.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,504.30 / $1,840.50 / $1,840.50	Professional		$1,504.30	$1,840.50	$1,840.50