Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.35 / $559.35 / $559.35	Facility		$559.35	$559.35	$559.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.62 / $559.35 / $602.72	Professional		$507.62	$559.35	$602.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.61 / $1,344.73 / $1,680.91	Professional		$977.61	$1,344.73	$1,680.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $605.12 / $945.30 / $1,576.06	Facility		$605.12	$945.30	$1,576.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $647.75 / $1,079.58 / $5,178.08	Professional		$647.75	$1,079.58	$5,178.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $843.58 / $1,487.55 / $3,960.15	Facility		$843.58	$1,487.55	$3,960.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $859.00 / $1,321.30 / $1,659.31	Professional		$859.00	$1,321.30	$1,659.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.19 / $929.68 / $1,213.58	Professional		$676.19	$929.68	$1,213.58
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 $631.63 / $1,067.49 / $1,660.54	Professional		$631.63	$1,067.49	$1,660.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,203.90 / $1,473.00 / $1,473.00	Professional		$1,203.90	$1,473.00	$1,473.00