Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.96 / $722.96 / $722.96	Facility		$722.96	$722.96	$722.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.03 / $705.15 / $722.96	Professional		$655.03	$705.15	$722.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.54 / $1,731.16 / $2,163.94	Professional		$1,258.54	$1,731.16	$2,163.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $781.82 / $1,216.78 / $2,064.25	Facility		$781.82	$1,216.78	$2,064.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $844.91 / $1,494.18 / $7,231.97	Professional		$844.91	$1,494.18	$7,231.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,163.08 / $1,777.73 / $2,494.46	Facility		$1,163.08	$1,777.73	$2,494.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,108.00 / $1,764.18 / $2,152.17	Professional		$1,108.00	$1,764.18	$2,152.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $856.47 / $1,252.07 / $1,568.09	Professional		$856.47	$1,252.07	$1,568.09
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 $844.91 / $1,464.88 / $2,148.94	Professional		$844.91	$1,464.88	$2,148.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,555.60 / $1,903.30 / $1,903.30	Professional		$1,555.60	$1,903.30	$1,903.30