Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.50 / $886.56 / $886.56	Facility		$763.50	$886.56	$886.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.47 / $771.61 / $1,389.41	Professional		$701.47	$771.61	$1,389.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.67 / $2,056.56 / $2,571.03	Professional		$1,386.67	$2,056.56	$2,571.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,082.65 / $1,290.32 / $2,008.39	Facility		$1,082.65	$1,290.32	$2,008.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $917.10 / $1,973.97 / $6,642.56	Professional		$917.10	$1,973.97	$6,642.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,311.29 / $2,020.37 / $3,711.03	Facility		$1,311.29	$2,020.37	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,311.29 / $1,748.16 / $2,344.38	Professional		$1,311.29	$1,748.16	$2,344.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $905.47 / $1,478.20 / $1,795.79	Professional		$905.47	$1,478.20	$1,795.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.72 / $1,366.13 / $2,408.53	Professional		$776.72	$1,366.13	$2,408.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,541.50 / $1,886.10 / $2,179.69	Professional		$1,541.50	$1,886.10	$2,179.69