Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.32 / $730.32 / $730.32	Facility		$730.32	$730.32	$730.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.11 / $730.32 / $1,762.63	Professional		$615.11	$730.32	$1,762.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,274.81 / $1,659.48 / $2,074.35	Professional		$1,274.81	$1,659.48	$2,074.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.29 / $1,228.99 / $1,910.17	Facility		$954.29	$1,228.99	$1,910.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $686.02 / $1,470.25 / $5,440.00	Professional		$686.02	$1,470.25	$5,440.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,082.40 / $1,658.21 / $2,276.50	Facility		$1,082.40	$1,658.21	$2,276.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,082.40 / $1,572.28 / $1,973.50	Professional		$1,082.40	$1,572.28	$1,973.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.48 / $1,237.28 / $1,455.53	Professional		$891.48	$1,237.28	$1,455.53
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 $673.24 / $1,292.24 / $2,010.15	Professional		$673.24	$1,292.24	$2,010.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,443.90 / $1,766.70 / $1,766.70	Professional		$1,443.90	$1,766.70	$1,766.70