Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.00 / $794.00 / $794.00	Facility		$794.00	$794.00	$794.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.05 / $794.00 / $1,303.82	Professional		$651.05	$794.00	$1,303.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,552.64 / $1,708.57 / $2,135.71	Professional		$1,552.64	$1,708.57	$2,135.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $651.05 / $992.15 / $1,984.53	Facility		$651.05	$992.15	$1,984.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.19 / $1,351.17 / $2,368.48	Professional		$691.19	$1,351.17	$2,368.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,398.45 / $1,737.88 / $2,125.04	Facility		$1,398.45	$1,737.88	$2,125.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,081.00 / $1,748.68 / $1,976.83	Professional		$1,081.00	$1,748.68	$1,976.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $810.18 / $1,221.44 / $1,436.76	Professional		$810.18	$1,221.44	$1,436.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $4,561.46	Facility		$2,714.00	$2,714.00	$4,561.46
United Facility/Professional Professional Modifier Low / Median / High Price $805.61 / $1,353.56 / $2,101.82	Professional		$805.61	$1,353.56	$2,101.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,400.20 / $1,713.20 / $1,713.20	Professional		$1,400.20	$1,713.20	$1,713.20