Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.75 / $808.53 / $808.53	Facility		$668.75	$808.53	$808.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.75 / $808.53 / $1,306.47	Professional		$668.75	$808.53	$1,306.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,259.81 / $1,858.93 / $2,323.67	Professional		$1,259.81	$1,858.93	$2,323.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $951.32 / $1,185.10 / $1,991.85	Facility		$951.32	$1,185.10	$1,991.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $949.50 / $1,974.97 / $5,937.36	Professional		$949.50	$1,974.97	$5,937.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,354.79 / $1,970.10 / $6,855.77	Facility		$1,354.79	$1,970.10	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,354.79 / $1,707.04 / $2,097.61	Professional		$1,354.79	$1,707.04	$2,097.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $854.55 / $1,311.91 / $1,570.67	Professional		$854.55	$1,311.91	$1,570.67
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 $949.50 / $1,742.29 / $2,329.17	Professional		$949.50	$1,742.29	$2,329.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,301.50 / $1,592.40 / $1,906.50	Professional		$1,301.50	$1,592.40	$1,906.50