Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.82 / $873.82 / $873.82	Facility		$873.82	$873.82	$873.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.96 / $873.82 / $2,001.80	Professional		$724.96	$873.82	$2,001.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.60 / $1,939.18 / $2,423.96	Professional		$1,433.60	$1,939.18	$2,423.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,442.63 / $1,803.28	Facility		$1,050.00	$1,442.63	$1,803.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $744.76 / $1,475.39 / $6,315.12	Professional		$744.76	$1,475.39	$6,315.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,935.23 / $3,711.03	Facility		$1,285.00	$1,935.23	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,041.40 / $1,638.54 / $2,318.67	Professional		$1,041.40	$1,638.54	$2,318.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $827.30 / $1,240.48 / $1,663.83	Professional		$827.30	$1,240.48	$1,663.83
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 $744.76 / $1,354.10 / $2,295.05	Professional		$744.76	$1,354.10	$2,295.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,650.60 / $2,019.50 / $2,019.50	Professional		$1,650.60	$2,019.50	$2,019.50