Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.30 / $716.30 / $716.30	Facility		$716.30	$716.30	$716.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.66 / $716.30 / $1,634.68	Professional		$594.66	$716.30	$1,634.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.08 / $1,614.30 / $2,017.87	Professional		$1,240.08	$1,614.30	$2,017.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $927.17 / $1,171.83 / $2,058.85	Facility		$927.17	$1,171.83	$2,058.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $704.68 / $1,542.49 / $5,175.28	Professional		$704.68	$1,542.49	$5,175.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,122.24 / $1,612.44 / $2,164.92	Facility		$1,122.24	$1,612.44	$2,164.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.24 / $1,440.13 / $1,867.54	Professional		$1,122.24	$1,440.13	$1,867.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $862.10 / $1,188.14 / $1,354.61	Professional		$862.10	$1,188.14	$1,354.61
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 $800.68 / $1,358.86 / $1,971.42	Professional		$800.68	$1,358.86	$1,971.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,343.80 / $1,644.20 / $1,644.20	Professional		$1,343.80	$1,644.20	$1,644.20