Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.09 / $685.09 / $685.09	Facility		$685.09	$685.09	$685.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.32 / $685.09 / $1,122.84	Professional		$562.32	$685.09	$1,122.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.20 / $1,480.29 / $1,850.36	Professional		$1,345.20	$1,480.29	$1,850.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.32 / $808.12 / $1,704.39	Facility		$562.32	$808.12	$1,704.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $593.75 / $1,161.63 / $2,037.09	Professional		$593.75	$1,161.63	$2,037.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,206.23 / $1,499.01 / $2,380.56	Facility		$1,206.23	$1,499.01	$2,380.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,502.34 / $1,704.21	Professional		$855.00	$1,502.34	$1,704.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $697.03 / $1,056.35 / $1,242.69	Professional		$697.03	$1,056.35	$1,242.69
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 $593.75 / $1,179.28 / $1,806.98	Professional		$593.75	$1,179.28	$1,806.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,211.09 / $1,481.80 / $1,481.80	Professional		$1,211.09	$1,481.80	$1,481.80