Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.58 / $818.58 / $818.58	Facility		$818.58	$818.58	$818.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.30 / $818.58 / $1,879.80	Professional		$680.30	$818.58	$1,879.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,392.41 / $1,819.98 / $2,274.96	Professional		$1,392.41	$1,819.98	$2,274.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,056.98 / $1,363.61 / $1,927.66	Facility		$1,056.98	$1,363.61	$1,927.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $748.38 / $1,486.80 / $5,927.92	Professional		$748.38	$1,486.80	$5,927.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.41 / $1,834.68 / $3,711.03	Facility		$1,392.41	$1,834.68	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,083.25 / $1,573.26 / $2,162.02	Professional		$1,083.25	$1,573.26	$2,162.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $822.10 / $1,260.03 / $1,562.26	Professional		$822.10	$1,260.03	$1,562.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.56 / $1,210.83 / $2,132.42	Professional		$678.56	$1,210.83	$2,132.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,549.80 / $1,896.30 / $1,896.30	Professional		$1,549.80	$1,896.30	$1,896.30