Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.75 / $777.75 / $777.75	Facility		$777.75	$777.75	$777.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.22 / $664.12 / $1,204.18	Professional		$646.22	$664.12	$1,204.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.07 / $1,728.82 / $2,161.03	Professional		$1,328.07	$1,728.82	$2,161.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,293.91 / $1,814.24	Facility		$1,000.00	$1,293.91	$1,814.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $710.43 / $1,443.02 / $5,622.08	Professional		$710.43	$1,443.02	$5,622.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,862.59 / $3,711.03	Facility		$1,285.00	$1,862.59	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,048.93 / $1,505.00 / $2,047.28	Professional		$1,048.93	$1,505.00	$2,047.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $779.74 / $1,186.29 / $1,480.75	Professional		$779.74	$1,186.29	$1,480.75
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 $755.87 / $1,443.02 / $2,015.94	Professional		$755.87	$1,443.02	$2,015.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,469.00 / $1,797.30 / $1,797.30	Professional		$1,469.00	$1,797.30	$1,797.30