Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.36 / $961.36 / $961.36	Facility		$961.36	$961.36	$961.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.69 / $961.36 / $2,322.27	Professional		$809.69	$961.36	$2,322.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,675.20 / $2,180.69 / $2,725.88	Professional		$1,675.20	$2,180.69	$2,725.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,246.28 / $1,593.30 / $2,527.80	Facility		$1,246.28	$1,593.30	$2,527.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $910.79 / $1,973.39 / $8,911.00	Professional		$910.79	$1,973.39	$8,911.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,453.53 / $2,378.35 / $11,097.85	Facility		$1,453.53	$2,378.35	$11,097.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,453.53 / $2,017.02 / $2,611.02	Professional		$1,453.53	$2,017.02	$2,611.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,198.79 / $1,628.80 / $1,916.12	Professional		$1,198.79	$1,628.80	$1,916.12
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 $1,033.68 / $1,708.38 / $2,657.48	Professional		$1,033.68	$1,708.38	$2,657.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,900.90 / $2,325.80 / $2,325.80	Professional		$1,900.90	$2,325.80	$2,325.80