Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.90 / $627.90 / $627.90	Facility		$627.90	$627.90	$627.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.79 / $627.90 / $1,505.33	Professional		$454.79	$627.90	$1,505.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.59 / $1,208.38 / $1,510.48	Professional		$1,068.59	$1,208.38	$1,510.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $768.60 / $1,061.15 / $1,808.89	Facility		$768.60	$1,061.15	$1,808.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $687.57 / $1,405.89 / $4,831.09	Professional		$687.57	$1,405.89	$4,831.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,038.48 / $1,367.80 / $1,946.14	Facility		$1,038.48	$1,367.80	$1,946.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,038.48 / $1,367.80 / $1,726.86	Professional		$1,038.48	$1,367.80	$1,726.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $811.25 / $1,056.50 / $1,214.55	Professional		$811.25	$1,056.50	$1,214.55
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 $736.42 / $1,149.73 / $1,788.47	Professional		$736.42	$1,149.73	$1,788.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,103.20 / $1,349.80 / $1,349.80	Professional		$1,103.20	$1,349.80	$1,349.80