Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.34 / $696.34 / $696.34	Facility		$696.34	$696.34	$696.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.21 / $696.34 / $2,124.51	Professional		$652.21	$696.34	$2,124.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,680.48 / $1,728.82 / $2,161.03	Professional		$1,680.48	$1,728.82	$2,161.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $932.66 / $1,176.81 / $1,975.99	Facility		$932.66	$1,176.81	$1,975.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $888.37 / $1,480.62 / $5,806.93	Professional		$888.37	$1,480.62	$5,806.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,158.30 / $1,905.42 / $2,359.94	Facility		$1,158.30	$1,905.42	$2,359.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,246.00 / $1,680.48 / $2,044.08	Professional		$1,246.00	$1,680.48	$2,044.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $1,269.72 / $1,493.69	Professional		$935.00	$1,269.72	$1,493.69
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 $888.37 / $1,420.70 / $2,114.19	Professional		$888.37	$1,420.70	$2,114.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,455.70 / $1,712.60 / $1,781.10	Professional		$1,455.70	$1,712.60	$1,781.10