Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.81 / $886.81 / $886.81	Facility		$886.81	$886.81	$886.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.68 / $886.81 / $2,163.81	Professional		$715.68	$886.81	$2,163.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.06 / $1,887.76 / $2,359.69	Professional		$1,752.06	$1,887.76	$2,359.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.81 / $1,362.30 / $2,073.33	Facility		$873.81	$1,362.30	$2,073.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $923.65 / $1,539.42 / $6,177.60	Professional		$923.65	$1,539.42	$6,177.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,274.00 / $2,100.13 / $5,269.25	Facility		$1,274.00	$2,100.13	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $1,795.86 / $2,253.05	Professional		$1,161.00	$1,795.86	$2,253.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $959.09 / $1,339.10 / $1,607.55	Professional		$959.09	$1,339.10	$1,607.55
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 $738.50 / $1,483.72 / $2,225.61	Professional		$738.50	$1,483.72	$2,225.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,531.40 / $1,801.60 / $1,873.70	Professional		$1,531.40	$1,801.60	$1,873.70