Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.06 / $687.06 / $687.06	Facility		$687.06	$687.06	$687.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.47 / $687.06 / $1,131.86	Professional		$586.47	$687.06	$1,131.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.55 / $1,582.35 / $1,977.94	Professional		$1,215.55	$1,582.35	$1,977.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $848.80 / $1,161.13 / $1,587.47	Facility		$848.80	$1,161.13	$1,587.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $649.24 / $1,276.30 / $5,124.56	Professional		$649.24	$1,276.30	$5,124.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,268.93 / $1,648.32 / $8,250.46	Facility		$1,268.93	$1,648.32	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $926.19 / $1,367.46 / $1,792.29	Professional		$926.19	$1,367.46	$1,792.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $684.52 / $1,033.50 / $1,348.79	Professional		$684.52	$1,033.50	$1,348.79
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 $668.54 / $1,215.52 / $1,888.72	Professional		$668.54	$1,215.52	$1,888.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,338.00 / $1,637.10 / $1,637.10	Professional		$1,338.00	$1,637.10	$1,637.10