Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.85 / $623.85 / $623.85	Facility		$623.85	$623.85	$623.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.49 / $623.85 / $4,904.50	Professional		$526.49	$623.85	$4,904.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.85 / $1,422.64 / $1,778.30	Professional		$1,092.85	$1,422.64	$1,778.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $756.30 / $989.89 / $1,628.20	Facility		$756.30	$989.89	$1,628.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $587.72 / $1,239.15 / $4,645.20	Professional		$587.72	$1,239.15	$4,645.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,152.69 / $1,433.30 / $1,969.98	Facility		$1,152.69	$1,433.30	$1,969.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $1,232.53 / $1,678.44	Professional		$910.86	$1,232.53	$1,678.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $751.08 / $1,056.91 / $1,243.33	Professional		$751.08	$1,056.91	$1,243.33
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 $551.55 / $1,100.66 / $1,712.14	Professional		$551.55	$1,100.66	$1,712.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,233.40 / $1,509.20 / $1,509.20	Professional		$1,233.40	$1,509.20	$1,509.20