Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.90 / $595.90 / $595.90	Facility		$595.90	$595.90	$595.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.98 / $595.90 / $1,649.45	Professional		$504.98	$595.90	$1,649.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.19 / $1,354.08 / $1,692.59	Professional		$1,312.19	$1,354.08	$1,692.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $722.12 / $946.57 / $1,556.35	Facility		$722.12	$946.57	$1,556.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.28 / $1,150.46 / $4,816.27	Professional		$690.28	$1,150.46	$4,816.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $1,550.05 / $5,090.60	Facility		$964.00	$1,550.05	$5,090.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $988.00 / $1,315.85 / $1,611.73	Professional		$988.00	$1,315.85	$1,611.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $727.42 / $994.22 / $1,169.59	Professional		$727.42	$994.22	$1,169.59
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.28 / $1,150.46 / $1,626.44	Professional		$690.28	$1,150.46	$1,626.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,139.80 / $1,341.00 / $1,394.60	Professional		$1,139.80	$1,341.00	$1,394.60