Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.17 / $617.17 / $617.17	Facility		$617.17	$617.17	$617.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.32 / $617.17 / $1,864.19	Professional		$556.32	$617.17	$1,864.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.83 / $1,463.15 / $1,828.94	Professional		$1,422.83	$1,463.15	$1,828.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $637.32 / $1,043.03 / $1,731.45	Facility		$637.32	$1,043.03	$1,731.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $781.08 / $1,301.80 / $4,839.68	Professional		$781.08	$1,301.80	$4,839.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,617.09 / $1,983.46	Facility		$1,200.00	$1,617.09	$1,983.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,206.95 / $1,422.83 / $1,721.02	Professional		$1,206.95	$1,422.83	$1,721.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.17 / $1,079.75 / $1,264.69	Professional		$812.17	$1,079.75	$1,264.69
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 $781.08 / $1,301.80 / $1,811.57	Professional		$781.08	$1,301.80	$1,811.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,254.59 / $1,476.00 / $1,535.10	Professional		$1,254.59	$1,476.00	$1,535.10