Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.60 / $562.60 / $562.60	Facility		$562.60	$562.60	$562.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.54 / $562.60 / $1,676.25	Professional		$523.54	$562.60	$1,676.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.39 / $1,376.67 / $1,720.84	Professional		$1,348.39	$1,376.67	$1,720.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $748.66 / $950.79 / $1,579.85	Facility		$748.66	$950.79	$1,579.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $703.94 / $1,185.08 / $4,604.80	Professional		$703.94	$1,185.08	$4,604.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $915.02 / $1,528.11 / $1,928.20	Facility		$915.02	$1,528.11	$1,928.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $972.00 / $1,358.08 / $1,674.18	Professional		$972.00	$1,358.08	$1,674.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $737.29 / $1,026.10 / $1,207.11	Professional		$737.29	$1,026.10	$1,207.11
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 $703.94 / $1,290.06 / $1,693.38	Professional		$703.94	$1,290.06	$1,693.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,176.40 / $1,384.00 / $1,439.40	Professional		$1,176.40	$1,384.00	$1,439.40