Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.43 / $936.43 / $936.43	Facility		$936.43	$936.43	$936.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.64 / $936.43 / $1,526.94	Professional		$767.64	$936.43	$1,526.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.06 / $2,011.64 / $2,514.55	Professional		$1,828.06	$2,011.64	$2,514.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $767.64 / $1,102.71 / $2,283.73	Facility		$767.64	$1,102.71	$2,283.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $806.17 / $1,579.91 / $2,756.67	Professional		$806.17	$1,579.91	$2,756.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,582.22 / $2,031.66 / $3,141.50	Facility		$1,582.22	$2,031.66	$3,141.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $2,031.66 / $2,321.52	Professional		$1,275.00	$2,031.66	$2,321.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $943.76 / $1,429.61 / $1,683.23	Professional		$943.76	$1,429.61	$1,683.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $873.28 / $1,579.91 / $2,457.64	Professional		$873.28	$1,579.91	$2,457.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,640.40 / $2,007.10 / $2,007.10	Professional		$1,640.40	$2,007.10	$2,007.10