Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.12 / $719.12 / $719.12	Facility		$719.12	$719.12	$719.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.89 / $719.12 / $1,703.50	Professional		$602.89	$719.12	$1,703.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,246.08 / $1,622.09 / $2,027.61	Professional		$1,246.08	$1,622.09	$2,027.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $920.97 / $1,170.66 / $1,768.61	Facility		$920.97	$1,170.66	$1,768.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $669.17 / $1,375.06 / $5,300.32	Professional		$669.17	$1,375.06	$5,300.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,009.32 / $1,539.76 / $2,231.65	Facility		$1,009.32	$1,539.76	$2,231.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,009.32 / $1,371.62 / $1,917.05	Professional		$1,009.32	$1,371.62	$1,917.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $821.71 / $1,154.43 / $1,410.24	Professional		$821.71	$1,154.43	$1,410.24
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 $640.22 / $1,233.63 / $1,918.98	Professional		$640.22	$1,233.63	$1,918.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,399.00 / $1,711.70 / $1,711.70	Professional		$1,399.00	$1,711.70	$1,711.70