Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.35 / $870.35 / $1,058.85	Facility		$870.35	$870.35	$1,058.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.61 / $704.38 / $1,438.45	Professional		$695.61	$704.38	$1,438.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,734.13 / $1,869.84 / $2,337.30	Professional		$1,734.13	$1,869.84	$2,337.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $958.39 / $1,444.63 / $2,115.80	Facility		$958.39	$1,444.63	$2,115.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $953.11 / $1,594.37 / $6,119.20	Professional		$953.11	$1,594.37	$6,119.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,333.00 / $2,028.82 / $5,269.25	Facility		$1,333.00	$2,028.82	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,734.13 / $2,247.06	Professional		$1,275.00	$1,734.13	$2,247.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $998.71 / $1,375.30 / $1,617.90	Professional		$998.71	$1,375.30	$1,617.90
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 $1,044.95 / $1,588.52 / $2,297.51	Professional		$1,044.95	$1,588.52	$2,297.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,541.20 / $1,813.20 / $1,885.80	Professional		$1,541.20	$1,813.20	$1,885.80