Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.24 / $769.24 / $769.24	Facility		$769.24	$769.24	$769.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.65 / $769.24 / $2,197.62	Professional		$647.65	$769.24	$2,197.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.23 / $1,749.86 / $2,187.32	Professional		$1,344.23	$1,749.86	$2,187.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,008.52 / $1,300.02 / $2,004.59	Facility		$1,008.52	$1,300.02	$2,004.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $759.19 / $1,576.09 / $5,722.48	Professional		$759.19	$1,576.09	$5,722.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,897.62 / $8,250.46	Facility		$1,285.00	$1,897.62	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,159.56 / $1,596.06 / $2,067.30	Professional		$1,159.56	$1,596.06	$2,067.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $945.22 / $1,297.76 / $1,526.68	Professional		$945.22	$1,297.76	$1,526.68
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 $759.19 / $1,359.99 / $2,115.54	Professional		$759.19	$1,359.99	$2,115.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,514.50 / $1,853.10 / $1,853.10	Professional		$1,514.50	$1,853.10	$1,853.10