Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.68 / $881.68 / $881.68	Facility		$881.68	$881.68	$881.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.04 / $881.68 / $1,634.42	Professional		$733.04	$881.68	$1,634.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,508.22 / $1,963.33 / $2,454.17	Professional		$1,508.22	$1,963.33	$2,454.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,126.28 / $1,407.26 / $2,101.16	Facility		$1,126.28	$1,407.26	$2,101.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $807.96 / $1,654.80 / $6,399.12	Professional		$807.96	$1,654.80	$6,399.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,206.45 / $1,902.47 / $2,721.79	Facility		$1,206.45	$1,902.47	$2,721.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,206.45 / $1,678.78 / $2,335.98	Professional		$1,206.45	$1,678.78	$2,335.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $888.18 / $1,373.29 / $1,691.00	Professional		$888.18	$1,373.29	$1,691.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.93 / $1,485.16 / $2,310.25	Professional		$769.93	$1,485.16	$2,310.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,677.50 / $2,052.50 / $2,052.50	Professional		$1,677.50	$2,052.50	$2,052.50