Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.93 / $692.93 / $692.93	Facility		$692.93	$692.93	$692.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.54 / $788.40 / $867.25	Professional		$647.54	$788.40	$867.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,725.68 / $1,728.82 / $2,161.03	Professional		$1,725.68	$1,728.82	$2,161.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $925.98 / $1,171.05 / $2,059.21	Facility		$925.98	$1,171.05	$2,059.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $907.09 / $1,570.34 / $5,892.48	Professional		$907.09	$1,570.34	$5,892.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,177.14 / $1,951.82 / $2,539.29	Facility		$1,177.14	$1,951.82	$2,539.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,768.82 / $2,211.02	Professional		$1,245.00	$1,768.82	$2,211.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $972.31 / $1,357.70 / $1,597.20	Professional		$972.31	$1,357.70	$1,597.20
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 $831.50 / $1,383.79 / $2,152.56	Professional		$831.50	$1,383.79	$2,152.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,556.60 / $1,831.30 / $1,904.50	Professional		$1,556.60	$1,831.30	$1,904.50