Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.27 / $700.27 / $700.27	Facility		$700.27	$700.27	$700.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.26 / $700.27 / $1,687.73	Professional		$590.26	$700.27	$1,687.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,222.74 / $1,591.70 / $1,989.63	Professional		$1,222.74	$1,591.70	$1,989.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $917.26 / $1,204.59 / $1,827.55	Facility		$917.26	$1,204.59	$1,827.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $748.81 / $1,429.55 / $5,337.89	Professional		$748.81	$1,429.55	$5,337.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,051.01 / $1,582.18 / $2,183.69	Facility		$1,051.01	$1,582.18	$2,183.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,051.01 / $1,492.37 / $1,892.46	Professional		$1,051.01	$1,492.37	$1,892.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $867.12 / $1,185.03 / $1,394.07	Professional		$867.12	$1,185.03	$1,394.07
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 $748.81 / $1,361.48 / $1,924.94	Professional		$748.81	$1,361.48	$1,924.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,383.00 / $1,692.10 / $1,692.10	Professional		$1,383.00	$1,692.10	$1,692.10