Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.71 / $567.71 / $567.71	Facility		$567.71	$567.71	$567.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.11 / $567.71 / $1,706.55	Professional		$512.11	$567.71	$1,706.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,309.30 / $1,346.28 / $1,682.86	Professional		$1,309.30	$1,346.28	$1,682.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $732.32 / $959.43 / $1,584.39	Facility		$732.32	$959.43	$1,584.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $710.52 / $1,184.20 / $9,677.00	Professional		$710.52	$1,184.20	$9,677.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,018.00 / $1,559.92 / $3,079.87	Facility		$1,018.00	$1,559.92	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,022.00 / $1,309.30 / $1,582.91	Professional		$1,022.00	$1,309.30	$1,582.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $743.84 / $989.27 / $1,163.77	Professional		$743.84	$989.27	$1,163.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $6,897.94	Facility		$2,714.00	$2,714.00	$6,897.94
United Facility/Professional Professional Modifier Low / Median / High Price $710.52 / $1,184.20 / $1,660.32	Professional		$710.52	$1,184.20	$1,660.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,154.50 / $1,358.20 / $1,412.60	Professional		$1,154.50	$1,358.20	$1,412.60