Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.71 / $691.29 / $691.29	Facility		$547.71	$691.29	$691.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.62 / $646.97 / $918.58	Professional		$528.62	$646.97	$918.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.33 / $1,627.35 / $2,036.37	Professional		$1,184.33	$1,627.35	$2,036.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $690.57 / $1,002.59 / $1,795.31	Facility		$690.57	$1,002.59	$1,795.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $664.89 / $1,715.33 / $5,242.80	Professional		$664.89	$1,715.33	$5,242.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,127.00 / $1,581.21 / $2,160.75	Facility		$1,127.00	$1,581.21	$2,160.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,429.14 / $1,865.13	Professional		$1,032.00	$1,429.14	$1,865.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $713.33 / $1,113.31 / $1,377.90	Professional		$713.33	$1,113.31	$1,377.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.74 / $1,372.26 / $1,941.41	Professional		$754.74	$1,372.26	$1,941.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,020.30 / $1,248.40 / $1,545.10	Professional		$1,020.30	$1,248.40	$1,545.10