Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.88 / $603.88 / $603.88	Facility		$603.88	$603.88	$603.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.70 / $603.88 / $1,519.45	Professional		$513.70	$603.88	$1,519.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.52 / $1,392.25 / $1,740.31	Professional		$1,069.52	$1,392.25	$1,740.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $780.89 / $1,020.56 / $1,513.84	Facility		$780.89	$1,020.56	$1,513.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $578.25 / $1,176.55 / $4,637.92	Professional		$578.25	$1,176.55	$4,637.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,142.61 / $1,523.09 / $2,754.95	Facility		$1,142.61	$1,523.09	$2,754.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $874.04 / $1,191.51 / $1,711.22	Professional		$874.04	$1,191.51	$1,711.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $698.11 / $964.49 / $1,252.40	Professional		$698.11	$964.49	$1,252.40
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 $567.79 / $1,097.59 / $1,707.38	Professional		$567.79	$1,097.59	$1,707.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,242.40 / $1,520.10 / $1,520.10	Professional		$1,242.40	$1,520.10	$1,520.10