Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.77 / $767.25 / $767.25	Facility		$627.77	$767.25	$767.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.50 / $740.42 / $1,159.08	Professional		$614.50	$740.42	$1,159.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.45 / $1,761.00 / $2,257.44	Professional		$1,349.45	$1,761.00	$2,257.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $787.27 / $1,127.69 / $2,003.39	Facility		$787.27	$1,127.69	$2,003.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $745.27 / $1,987.08 / $5,828.24	Professional		$745.27	$1,987.08	$5,828.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,292.00 / $1,716.91 / $2,364.42	Facility		$1,292.00	$1,716.91	$2,364.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,183.00 / $1,642.08 / $2,099.33	Professional		$1,183.00	$1,642.08	$2,099.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $792.28 / $1,269.85 / $1,529.92	Professional		$792.28	$1,269.85	$1,529.92
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 $697.88 / $1,430.69 / $2,225.46	Professional		$697.88	$1,430.69	$2,225.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,163.80 / $1,424.00 / $1,715.60	Professional		$1,163.80	$1,424.00	$1,715.60