Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.41 / $987.41 / $987.41	Facility		$987.41	$987.41	$987.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.96 / $987.41 / $1,664.47	Professional		$831.96	$987.41	$1,664.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.69 / $2,239.91 / $2,799.89	Professional		$1,720.69	$2,239.91	$2,799.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,195.10 / $1,560.37 / $2,444.37	Facility		$1,195.10	$1,560.37	$2,444.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $927.69 / $1,907.85 / $7,387.20	Professional		$927.69	$1,907.85	$7,387.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,829.84 / $2,449.67 / $3,711.03	Facility		$1,829.84	$2,449.67	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.45 / $1,920.01 / $2,693.89	Professional		$1,412.45	$1,920.01	$2,693.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,118.98 / $1,538.46 / $1,975.63	Professional		$1,118.98	$1,538.46	$1,975.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $999.35 / $1,767.47 / $2,749.40	Professional		$999.35	$1,767.47	$2,749.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,959.90 / $2,398.00 / $2,398.00	Professional		$1,959.90	$2,398.00	$2,398.00