Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $919.30 / $919.30 / $919.30	Facility		$919.30	$919.30	$919.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.88 / $940.13 / $2,200.00	Professional		$774.88	$940.13	$2,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.58 / $2,088.77 / $2,610.96	Professional		$1,604.58	$2,088.77	$2,610.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,207.39 / $1,544.44 / $2,437.52	Facility		$1,207.39	$1,544.44	$2,437.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $910.39 / $1,840.99 / $6,866.88	Professional		$910.39	$1,840.99	$6,866.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,020.28 / $2,462.86	Facility		$1,285.00	$2,020.28	$2,462.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,358.29 / $1,915.27 / $2,499.00	Professional		$1,358.29	$1,915.27	$2,499.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,118.44 / $1,563.64 / $1,837.84	Professional		$1,118.44	$1,563.64	$1,837.84
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 $910.39 / $1,637.95 / $2,547.92	Professional		$910.39	$1,637.95	$2,547.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,823.20 / $2,230.80 / $2,230.80	Professional		$1,823.20	$2,230.80	$2,230.80