Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.33 / $865.33 / $865.33	Facility		$865.33	$865.33	$865.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.03 / $865.33 / $2,086.40	Professional		$729.03	$865.33	$2,086.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.42 / $1,964.89 / $2,456.11	Professional		$1,509.42	$1,964.89	$2,456.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,134.40 / $1,462.41 / $2,259.39	Facility		$1,134.40	$1,462.41	$2,259.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $814.50 / $1,766.71 / $7,132.77	Professional		$814.50	$1,766.71	$7,132.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,299.83 / $2,137.98 / $3,711.03	Facility		$1,299.83	$2,137.98	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,299.83 / $1,801.51 / $2,341.42	Professional		$1,299.83	$1,801.51	$2,341.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,025.70 / $1,464.38 / $1,722.69	Professional		$1,025.70	$1,464.38	$1,722.69
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 $814.50 / $1,530.63 / $2,380.98	Professional		$814.50	$1,530.63	$2,380.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,709.00 / $2,091.00 / $2,091.00	Professional		$1,709.00	$2,091.00	$2,091.00