Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.04 / $945.04 / $945.04	Facility		$945.04	$945.04	$945.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.77 / $945.04 / $2,284.63	Professional		$795.77	$945.04	$2,284.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,646.47 / $2,143.30 / $2,679.13	Professional		$1,646.47	$2,143.30	$2,679.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,240.81 / $1,632.02 / $2,484.17	Facility		$1,240.81	$1,632.02	$2,484.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,015.93 / $1,939.50 / $7,050.08	Professional		$1,015.93	$1,939.50	$7,050.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,428.65 / $2,189.94 / $3,711.03	Facility		$1,428.65	$2,189.94	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,428.65 / $1,964.52 / $2,568.21	Professional		$1,428.65	$1,964.52	$2,568.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,178.18 / $1,602.41 / $1,885.07	Professional		$1,178.18	$1,602.41	$1,885.07
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 $1,015.93 / $1,893.45 / $2,612.90	Professional		$1,015.93	$1,893.45	$2,612.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,870.10 / $2,288.10 / $2,288.10	Professional		$1,870.10	$2,288.10	$2,288.10