Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.55 / $606.55 / $606.55	Facility		$606.55	$606.55	$606.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.55 / $700.75 / $770.82	Professional		$606.55	$700.75	$770.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,400.29 / $1,439.00 / $1,798.75	Professional		$1,400.29	$1,439.00	$1,798.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.35 / $1,025.08 / $1,697.79	Facility		$782.35	$1,025.08	$1,697.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.15 / $1,268.58 / $18,994.34	Professional		$761.15	$1,268.58	$18,994.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,098.00 / $1,669.42 / $5,090.60	Facility		$1,098.00	$1,669.42	$5,090.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,060.00 / $1,400.29 / $1,692.19	Professional		$1,060.00	$1,400.29	$1,692.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $795.74 / $1,058.28 / $1,244.64	Professional		$795.74	$1,058.28	$1,244.64
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 $761.15 / $1,268.58 / $1,775.84	Professional		$761.15	$1,268.58	$1,775.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,234.70 / $1,452.60 / $1,510.70	Professional		$1,234.70	$1,452.60	$1,510.70