Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.82 / $869.82 / $869.82	Facility		$869.82	$869.82	$869.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.25 / $869.82 / $2,145.01	Professional		$703.25	$869.82	$2,145.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.00 / $1,848.80 / $2,311.01	Professional		$1,733.00	$1,848.80	$2,311.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $928.04 / $1,429.60 / $2,041.15	Facility		$928.04	$1,429.60	$2,041.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $905.28 / $1,509.58 / $6,087.44	Professional		$905.28	$1,509.58	$6,087.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,331.00 / $2,080.89 / $5,269.25	Facility		$1,331.00	$2,080.89	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,223.00 / $1,776.33 / $2,217.03	Professional		$1,223.00	$1,776.33	$2,217.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $946.93 / $1,317.45 / $1,580.38	Professional		$946.93	$1,317.45	$1,580.38
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 $905.28 / $1,508.80 / $2,197.92	Professional		$905.28	$1,508.80	$2,197.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,505.50 / $1,771.20 / $1,842.00	Professional		$1,505.50	$1,771.20	$1,842.00