Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.08 / $958.08 / $958.08	Facility		$958.08	$958.08	$958.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.83 / $958.08 / $2,314.38	Professional		$806.83	$958.08	$2,314.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,669.82 / $2,173.69 / $2,717.11	Professional		$1,669.82	$2,173.69	$2,717.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,257.80 / $1,617.74 / $2,518.63	Facility		$1,257.80	$1,617.74	$2,518.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $927.51 / $1,966.00 / $7,146.88	Professional		$927.51	$1,966.00	$7,146.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,448.05 / $2,369.77 / $8,250.46	Facility		$1,448.05	$2,369.77	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,448.05 / $2,009.72 / $2,602.80	Professional		$1,448.05	$2,009.72	$2,602.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,194.49 / $1,623.30 / $1,909.65	Professional		$1,194.49	$1,623.30	$1,909.65
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 $1,029.81 / $1,872.38 / $2,647.99	Professional		$1,029.81	$1,872.38	$2,647.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,894.40 / $2,317.90 / $2,317.90	Professional		$1,894.40	$2,317.90	$2,317.90