Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.97 / $826.97 / $826.97	Facility		$826.97	$826.97	$826.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.59 / $826.97 / $1,992.53	Professional		$696.59	$826.97	$1,992.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.98 / $1,878.41 / $2,348.01	Professional		$1,442.98	$1,878.41	$2,348.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,083.33 / $1,397.58 / $2,152.25	Facility		$1,083.33	$1,397.58	$2,152.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $786.65 / $1,671.41 / $7,132.77	Professional		$786.65	$1,671.41	$7,132.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,041.29 / $8,250.46	Facility		$1,285.00	$2,041.29	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,229.69 / $1,703.62 / $2,233.06	Professional		$1,229.69	$1,703.62	$2,233.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,011.64 / $1,398.95 / $1,645.71	Professional		$1,011.64	$1,398.95	$1,645.71
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 $786.65 / $1,472.43 / $2,271.42	Professional		$786.65	$1,472.43	$2,271.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,632.60 / $1,997.50 / $1,997.50	Professional		$1,632.60	$1,997.50	$1,997.50