Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.41 / $647.41 / $647.41	Facility		$647.41	$647.41	$647.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $647.41 / $1,557.58	Professional		$546.04	$647.41	$1,557.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.56 / $1,475.62 / $1,844.52	Professional		$1,133.56	$1,475.62	$1,844.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $846.10 / $1,092.09 / $1,672.92	Facility		$846.10	$1,092.09	$1,672.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $612.37 / $1,309.52 / $6,052.96	Professional		$612.37	$1,309.52	$6,052.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,194.99 / $1,595.82 / $3,711.03	Facility		$1,194.99	$1,595.82	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $1,331.04 / $1,739.46	Professional		$961.15	$1,331.04	$1,739.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $792.85 / $1,091.90 / $1,287.98	Professional		$792.85	$1,091.90	$1,287.98
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 $612.37 / $1,138.01 / $1,770.24	Professional		$612.37	$1,138.01	$1,770.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,277.70 / $1,563.30 / $1,563.30	Professional		$1,277.70	$1,563.30	$1,563.30