Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.54 / $607.54 / $607.54	Facility		$607.54	$607.54	$607.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.27 / $607.54 / $1,884.22	Professional		$566.27	$607.54	$1,884.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,460.68 / $1,501.33 / $1,876.66	Professional		$1,460.68	$1,501.33	$1,876.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $809.77 / $1,026.76 / $1,681.33	Facility		$809.77	$1,026.76	$1,681.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $749.09 / $1,268.55 / $5,443.68	Professional		$749.09	$1,268.55	$5,443.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $973.88 / $1,648.03 / $2,049.16	Facility		$973.88	$1,648.03	$2,049.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,039.00 / $1,460.68 / $1,783.47	Professional		$1,039.00	$1,460.68	$1,783.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $781.66 / $1,091.35 / $1,298.33	Professional		$781.66	$1,091.35	$1,298.33
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 $749.09 / $1,248.48 / $1,835.04	Professional		$749.09	$1,248.48	$1,835.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,265.30 / $1,488.60 / $1,548.10	Professional		$1,265.30	$1,488.60	$1,548.10