Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.42 / $682.42 / $682.42	Facility		$682.42	$682.42	$682.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.75 / $682.42 / $1,678.20	Professional		$580.75	$682.42	$1,678.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.55 / $1,586.25 / $1,982.81	Professional		$1,218.55	$1,586.25	$1,982.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $834.25 / $1,153.29 / $1,804.02	Facility		$834.25	$1,153.29	$1,804.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $655.33 / $1,427.33 / $5,185.35	Professional		$655.33	$1,427.33	$5,185.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,719.09 / $3,711.03	Facility		$1,285.00	$1,719.09	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,048.58 / $1,447.20 / $1,875.94	Professional		$1,048.58	$1,447.20	$1,875.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $804.08 / $1,163.86 / $1,386.95	Professional		$804.08	$1,163.86	$1,386.95
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 $747.65 / $1,226.52 / $1,907.92	Professional		$747.65	$1,226.52	$1,907.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,375.90 / $1,683.50 / $1,683.50	Professional		$1,375.90	$1,683.50	$1,683.50