Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.12 / $757.12 / $757.12	Facility		$757.12	$757.12	$757.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.89 / $757.12 / $1,795.03	Professional		$635.89	$757.12	$1,795.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.31 / $1,707.01 / $2,133.76	Professional		$1,311.31	$1,707.01	$2,133.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $997.90 / $1,251.63 / $2,140.02	Facility		$997.90	$1,251.63	$2,140.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $754.42 / $1,697.09 / $7,223.58	Professional		$754.42	$1,697.09	$7,223.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,867.74 / $3,276.96	Facility		$1,285.00	$1,867.74	$3,276.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,249.91 / $1,588.61 / $1,983.52	Professional		$1,249.91	$1,588.61	$1,983.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $911.96 / $1,295.94 / $1,477.52	Professional		$911.96	$1,295.94	$1,477.52
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 $754.42 / $1,321.16 / $2,055.14	Professional		$754.42	$1,321.16	$2,055.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,465.80 / $1,793.40 / $1,793.40	Professional		$1,465.80	$1,793.40	$1,793.40