Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.52 / $794.52 / $794.52	Facility		$794.52	$794.52	$794.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.40 / $794.52 / $1,915.47	Professional		$669.40	$794.52	$1,915.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.32 / $1,805.95 / $2,257.44	Professional		$1,387.32	$1,805.95	$2,257.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,040.60 / $1,338.80 / $2,065.16	Facility		$1,040.60	$1,338.80	$2,065.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $748.06 / $1,582.52 / $5,915.04	Professional		$748.06	$1,582.52	$5,915.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,961.08 / $11,742.08	Facility		$1,285.00	$1,961.08	$11,742.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,164.81 / $1,647.36 / $2,144.71	Professional		$1,164.81	$1,647.36	$2,144.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $958.22 / $1,345.06 / $1,582.32	Professional		$958.22	$1,345.06	$1,582.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.06 / $1,402.18 / $2,181.17	Professional		$748.06	$1,402.18	$2,181.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,569.70 / $1,920.60 / $1,920.60	Professional		$1,569.70	$1,920.60	$1,920.60