Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.52 / $677.52 / $677.52	Facility		$677.52	$677.52	$677.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.99 / $677.52 / $2,049.92	Professional		$610.99	$677.52	$2,049.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,563.30 / $1,604.95 / $2,006.18	Professional		$1,563.30	$1,604.95	$2,006.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.72 / $1,145.01 / $1,904.05	Facility		$873.72	$1,145.01	$1,904.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $852.00 / $1,420.00 / $6,197.00	Professional		$852.00	$1,420.00	$6,197.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,110.53 / $1,768.08 / $2,178.48	Facility		$1,110.53	$1,768.08	$2,178.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,199.00 / $1,563.30 / $1,892.76	Professional		$1,199.00	$1,563.30	$1,892.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.76 / $1,185.93 / $1,389.54	Professional		$891.76	$1,185.93	$1,389.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.00 / $1,491.76 / $1,989.32	Professional		$781.00	$1,491.76	$1,989.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,378.50 / $1,621.70 / $1,686.60	Professional		$1,378.50	$1,621.70	$1,686.60