Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.38 / $720.38 / $720.38	Facility		$720.38	$720.38	$720.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.95 / $720.38 / $1,691.50	Professional		$597.95	$720.38	$1,691.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.28 / $1,619.75 / $2,024.69	Professional		$1,244.28	$1,619.75	$2,024.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $858.96 / $1,182.56 / $1,690.61	Facility		$858.96	$1,182.56	$1,690.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $667.79 / $1,408.93 / $6,724.95	Professional		$667.79	$1,408.93	$6,724.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,033.01 / $1,624.12 / $2,233.77	Facility		$1,033.01	$1,624.12	$2,233.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,033.01 / $1,396.03 / $1,931.19	Professional		$1,033.01	$1,396.03	$1,931.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $791.60 / $1,088.36 / $1,399.89	Professional		$791.60	$1,088.36	$1,399.89
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 $738.01 / $1,408.93 / $1,998.19	Professional		$738.01	$1,408.93	$1,998.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,388.70 / $1,699.20 / $1,699.20	Professional		$1,388.70	$1,699.20	$1,699.20