Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.53 / $695.53 / $695.53	Facility		$695.53	$695.53	$695.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.01 / $695.53 / $1,140.25	Professional		$571.01	$695.53	$1,140.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.73 / $1,502.88 / $1,878.60	Professional		$1,365.73	$1,502.88	$1,878.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $571.01 / $820.26 / $1,733.78	Facility		$571.01	$820.26	$1,733.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.84 / $1,179.81 / $2,067.85	Professional		$602.84	$1,179.81	$2,067.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,225.11 / $1,522.48 / $2,380.56	Facility		$1,225.11	$1,522.48	$2,380.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $909.00 / $1,525.73 / $1,729.43	Professional		$909.00	$1,525.73	$1,729.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.25 / $1,071.76 / $1,260.81	Professional		$707.25	$1,071.76	$1,260.81
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 $693.37 / $1,200.85 / $1,835.26	Professional		$693.37	$1,200.85	$1,835.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,228.70 / $1,503.40 / $1,503.40	Professional		$1,228.70	$1,503.40	$1,503.40