Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.24 / $620.24 / $620.24	Facility		$620.24	$620.24	$620.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.76 / $620.24 / $1,973.54	Professional		$575.76	$620.24	$1,973.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.53 / $1,546.51 / $1,933.14	Professional		$1,506.53	$1,546.51	$1,933.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $823.34 / $1,048.21 / $1,915.85	Facility		$823.34	$1,048.21	$1,915.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $850.90 / $1,418.16 / $5,129.60	Professional		$850.90	$1,418.16	$5,129.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $1,703.96 / $2,098.19	Facility		$1,170.00	$1,703.96	$2,098.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,175.00 / $1,506.53 / $1,825.51	Professional		$1,175.00	$1,506.53	$1,825.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $859.32 / $1,138.29 / $1,339.08	Professional		$859.32	$1,138.29	$1,339.08
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 $779.99 / $1,232.17 / $1,916.71	Professional		$779.99	$1,232.17	$1,916.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,305.00 / $1,535.30 / $1,596.70	Professional		$1,305.00	$1,535.30	$1,596.70