Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.89 / $671.21 / $671.21	Facility		$490.89	$671.21	$671.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.36 / $566.04 / $1,397.45	Professional		$416.36	$566.04	$1,397.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,019.52 / $1,402.38 / $1,901.98	Professional		$1,019.52	$1,402.38	$1,901.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $693.63 / $979.46 / $1,550.98	Facility		$693.63	$979.46	$1,550.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $735.75 / $1,579.81 / $4,950.00	Professional		$735.75	$1,579.81	$4,950.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,073.50 / $1,437.39 / $3,711.03	Facility		$1,073.50	$1,437.39	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,019.90 / $1,289.15 / $1,739.02	Professional		$1,019.90	$1,289.15	$1,739.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $711.39 / $954.18 / $1,277.63	Professional		$711.39	$954.18	$1,277.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.53 / $1,220.56 / $1,898.65	Professional		$751.53	$1,220.56	$1,898.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $946.60 / $1,158.20 / $1,550.80	Professional		$946.60	$1,158.20	$1,550.80