Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.36 / $633.36 / $633.36	Facility		$633.36	$633.36	$633.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.22 / $633.36 / $2,026.09	Professional		$588.22	$633.36	$2,026.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,539.29 / $1,580.01 / $1,975.02	Professional		$1,539.29	$1,580.01	$1,975.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $841.15 / $1,070.38 / $1,956.73	Facility		$841.15	$1,070.38	$1,956.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $839.68 / $1,399.46 / $6,017.00	Professional		$839.68	$1,399.46	$6,017.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,225.00 / $1,843.54 / $3,079.87	Facility		$1,225.00	$1,843.54	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,261.00 / $1,539.29 / $1,863.94	Professional		$1,261.00	$1,539.29	$1,863.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $880.51 / $1,172.00 / $1,368.19	Professional		$880.51	$1,172.00	$1,368.19
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 $839.68 / $1,395.72 / $1,963.67	Professional		$839.68	$1,395.72	$1,963.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,333.40 / $1,568.70 / $1,631.40	Professional		$1,333.40	$1,568.70	$1,631.40