Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.32 / $861.32 / $861.32	Facility		$861.32	$861.32	$861.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.97 / $861.32 / $1,955.63	Professional		$712.97	$861.32	$1,955.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,467.52 / $1,910.35 / $2,387.94	Professional		$1,467.52	$1,910.35	$2,387.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,109.44 / $1,425.94 / $2,064.05	Facility		$1,109.44	$1,425.94	$2,064.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $822.46 / $1,646.44 / $6,192.16	Professional		$822.46	$1,646.44	$6,192.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,051.66 / $8,250.46	Facility		$1,285.00	$2,051.66	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,194.80 / $1,764.05 / $2,274.94	Professional		$1,194.80	$1,764.05	$2,274.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $866.10 / $1,350.28 / $1,626.95	Professional		$866.10	$1,350.28	$1,626.95
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 $862.42 / $1,568.04 / $2,266.46	Professional		$862.42	$1,568.04	$2,266.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,614.00 / $1,974.80 / $1,974.80	Professional		$1,614.00	$1,974.80	$1,974.80