Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $939.96 / $939.96 / $939.96	Facility		$939.96	$939.96	$939.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.98 / $939.96 / $2,068.12	Professional		$779.98	$939.96	$2,068.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,602.18 / $2,085.65 / $2,607.06	Professional		$1,602.18	$2,085.65	$2,607.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,212.64 / $1,561.61 / $2,264.02	Facility		$1,212.64	$1,561.61	$2,264.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $906.02 / $1,758.12 / $6,790.16	Professional		$906.02	$1,758.12	$6,790.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,249.71 / $10,504.88	Facility		$1,285.00	$2,249.71	$10,504.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,278.70 / $1,883.70 / $2,498.06	Professional		$1,278.70	$1,883.70	$2,498.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $952.02 / $1,480.65 / $1,788.03	Professional		$952.02	$1,480.65	$1,788.03
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 $789.61 / $1,598.20 / $2,486.09	Professional		$789.61	$1,598.20	$2,486.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,773.80 / $2,170.30 / $2,170.30	Professional		$1,773.80	$2,170.30	$2,170.30