Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.56 / $853.56 / $853.56	Facility		$853.56	$853.56	$853.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.61 / $853.56 / $1,695.89	Professional		$709.61	$853.56	$1,695.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,460.94 / $1,901.78 / $2,377.23	Professional		$1,460.94	$1,901.78	$2,377.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,102.66 / $1,414.88 / $2,004.07	Facility		$1,102.66	$1,414.88	$2,004.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $791.42 / $1,596.88 / $6,185.76	Professional		$791.42	$1,596.88	$6,185.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,049.57 / $10,457.19	Facility		$1,285.00	$2,049.57	$10,457.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,163.00 / $1,614.00 / $2,254.91	Professional		$1,163.00	$1,614.00	$2,254.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $949.50 / $1,305.45 / $1,633.42	Professional		$949.50	$1,305.45	$1,633.42
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 $791.42 / $1,422.20 / $2,212.31	Professional		$791.42	$1,422.20	$2,212.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,620.40 / $1,982.60 / $1,982.60	Professional		$1,620.40	$1,982.60	$1,982.60