Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.49 / $814.49 / $814.49	Facility		$814.49	$814.49	$814.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.20 / $750.30 / $1,551.56	Professional		$686.20	$750.30	$1,551.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,420.84 / $1,849.58 / $2,311.98	Professional		$1,420.84	$1,849.58	$2,311.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,068.74 / $1,376.49 / $2,141.87	Facility		$1,068.74	$1,376.49	$2,141.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $797.78 / $1,669.23 / $6,075.12	Professional		$797.78	$1,669.23	$6,075.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,014.34 / $8,250.46	Facility		$1,285.00	$2,014.34	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,228.96 / $1,707.27 / $2,208.48	Professional		$1,228.96	$1,707.27	$2,208.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,015.08 / $1,380.80 / $1,624.37	Professional		$1,015.08	$1,380.80	$1,624.37
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 $797.78 / $1,445.56 / $2,248.65	Professional		$797.78	$1,445.56	$2,248.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,611.40 / $1,971.60 / $1,971.60	Professional		$1,611.40	$1,971.60	$1,971.60