Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.62 / $747.62 / $747.62	Facility		$747.62	$747.62	$747.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.96 / $747.62 / $1,783.52	Professional		$601.96	$747.62	$1,783.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,452.00 / $1,586.25 / $1,982.81	Professional		$1,452.00	$1,586.25	$1,982.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.06 / $1,103.73 / $1,739.20	Facility		$695.06	$1,103.73	$1,739.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $760.85 / $1,268.55 / $6,630.84	Professional		$760.85	$1,268.55	$6,630.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,037.00 / $1,731.99 / $5,269.25	Facility		$1,037.00	$1,731.99	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $915.00 / $1,488.30 / $1,892.76	Professional		$915.00	$1,488.30	$1,892.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $789.04 / $1,099.78 / $1,344.26	Professional		$789.04	$1,099.78	$1,344.26
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 $760.85 / $1,331.48 / $1,856.74	Professional		$760.85	$1,331.48	$1,856.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,280.59 / $1,506.60 / $1,566.80	Professional		$1,280.59	$1,506.60	$1,566.80