Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.13 / $830.13 / $830.13	Facility		$830.13	$830.13	$830.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.74 / $830.13 / $2,001.17	Professional		$699.74	$830.13	$2,001.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,449.57 / $1,886.98 / $2,358.73	Professional		$1,449.57	$1,886.98	$2,358.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,087.57 / $1,368.00 / $2,161.42	Facility		$1,087.57	$1,368.00	$2,161.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $779.88 / $1,691.24 / $6,185.20	Professional		$779.88	$1,691.24	$6,185.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,050.69 / $8,250.46	Facility		$1,285.00	$2,050.69	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,243.74 / $1,724.81 / $2,242.17	Professional		$1,243.74	$1,724.81	$2,242.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,025.45 / $1,404.99 / $1,652.83	Professional		$1,025.45	$1,404.99	$1,652.83
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 $735.92 / $1,466.05 / $2,280.52	Professional		$735.92	$1,466.05	$2,280.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,639.70 / $2,006.20 / $2,006.20	Professional		$1,639.70	$2,006.20	$2,006.20