Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.66 / $835.61 / $835.61	Facility		$691.66	$835.61	$835.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.97 / $674.37 / $1,078.83	Professional		$571.97	$674.37	$1,078.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.92 / $1,782.58 / $2,228.23	Professional		$1,295.92	$1,782.58	$2,228.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $585.05 / $958.75 / $1,867.20	Facility		$585.05	$958.75	$1,867.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $666.09 / $1,524.53 / $5,606.00	Professional		$666.09	$1,524.53	$5,606.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,205.67 / $1,678.30 / $2,048.19	Facility		$1,205.67	$1,678.30	$2,048.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,172.70 / $1,678.30 / $2,071.71	Professional		$1,172.70	$1,678.30	$2,071.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $781.78 / $1,241.24 / $1,491.75	Professional		$781.78	$1,241.24	$1,491.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $4,665.92	Facility		$2,714.00	$2,714.00	$4,665.92
United Facility/Professional Professional Modifier Low / Median / High Price $768.50 / $1,413.86 / $2,173.11	Professional		$768.50	$1,413.86	$2,173.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,440.40 / $1,498.00 / $1,778.80	Professional		$1,440.40	$1,498.00	$1,778.80