Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.75 / $719.46 / $719.46	Facility		$543.75	$719.46	$719.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.88 / $807.69 / $2,443.42	Professional		$538.88	$807.69	$2,443.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.35 / $1,615.66 / $2,105.52	Professional		$1,292.35	$1,615.66	$2,105.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $705.88 / $1,089.17 / $1,893.31	Facility		$705.88	$1,089.17	$1,893.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $861.18 / $1,978.48 / $7,060.12	Professional		$861.18	$1,978.48	$7,060.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,214.99 / $1,743.63 / $2,896.79	Facility		$1,214.99	$1,743.63	$2,896.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,255.46 / $1,477.88 / $1,919.77	Professional		$1,255.46	$1,477.88	$1,919.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $778.16 / $1,115.90 / $1,433.53	Professional		$778.16	$1,115.90	$1,433.53
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $950.58 / $1,435.30 / $2,067.07	Professional		$950.58	$1,435.30	$2,067.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,107.00 / $1,354.50 / $1,740.00	Professional		$1,107.00	$1,354.50	$1,740.00