Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.24 / $690.24 / $690.24	Facility		$690.24	$690.24	$690.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.79 / $690.24 / $690.24	Professional		$641.79	$690.24	$690.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,343.17 / $1,424.19 / $1,780.24	Professional		$1,343.17	$1,424.19	$1,780.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $853.38 / $1,166.51 / $1,939.29	Facility		$853.38	$1,166.51	$1,939.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $766.46 / $1,439.47 / $4,903.92	Professional		$766.46	$1,439.47	$4,903.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $1,645.72 / $2,126.35	Facility		$1,334.00	$1,645.72	$2,126.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,211.00 / $1,490.54 / $1,954.39	Professional		$1,211.00	$1,490.54	$1,954.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $915.91 / $1,162.04 / $1,324.85	Professional		$915.91	$1,162.04	$1,324.85
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 $766.46 / $1,427.43 / $1,980.69	Professional		$766.46	$1,427.43	$1,980.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,366.50 / $1,607.70 / $1,672.00	Professional		$1,366.50	$1,607.70	$1,672.00