Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.51 / $796.51 / $796.51	Facility		$796.51	$796.51	$796.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.18 / $796.51 / $1,257.79	Professional		$665.18	$796.51	$1,257.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,374.75 / $1,789.59 / $2,236.98	Professional		$1,374.75	$1,789.59	$2,236.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,024.50 / $1,296.20 / $2,078.81	Facility		$1,024.50	$1,296.20	$2,078.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.80 / $1,635.71 / $6,581.31	Professional		$758.80	$1,635.71	$6,581.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,202.49 / $1,767.06 / $2,474.66	Facility		$1,202.49	$1,767.06	$2,474.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.49 / $1,651.65 / $2,148.57	Professional		$1,202.49	$1,651.65	$2,148.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $960.95 / $1,324.16 / $1,557.74	Professional		$960.95	$1,324.16	$1,557.74
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 $856.80 / $1,231.48 / $2,129.46	Professional		$856.80	$1,231.48	$2,129.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,545.30 / $1,890.80 / $1,890.80	Professional		$1,545.30	$1,890.80	$1,890.80