Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.45 / $952.45 / $952.45	Facility		$952.45	$952.45	$952.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.82 / $952.45 / $2,306.92	Professional		$801.82	$952.45	$2,306.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,660.24 / $2,161.21 / $2,701.53	Professional		$1,660.24	$2,161.21	$2,701.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,214.22 / $1,591.11 / $2,524.38	Facility		$1,214.22	$1,591.11	$2,524.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $894.34 / $1,968.10 / $7,111.44	Professional		$894.34	$1,968.10	$7,111.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,450.73 / $2,183.60 / $2,987.72	Facility		$1,450.73	$2,183.60	$2,987.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,450.73 / $1,914.45 / $2,594.60	Professional		$1,450.73	$1,914.45	$2,594.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,192.92 / $1,618.76 / $1,902.53	Professional		$1,192.92	$1,618.76	$1,902.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.34 / $1,698.70 / $2,642.42	Professional		$883.34	$1,698.70	$2,642.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,887.40 / $2,309.30 / $2,309.30	Professional		$1,887.40	$2,309.30	$2,309.30