Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.27 / $788.27 / $788.27	Facility		$788.27	$788.27	$788.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.80 / $788.27 / $2,315.92	Professional		$648.80	$788.27	$2,315.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,711.46 / $1,728.80 / $2,139.60	Professional		$1,711.46	$1,728.80	$2,139.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $927.80 / $1,332.18 / $2,090.89	Facility		$927.80	$1,332.18	$2,090.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $916.60 / $1,536.94 / $6,383.18	Professional		$916.60	$1,536.94	$6,383.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,190.61 / $1,910.34 / $2,453.77	Facility		$1,190.61	$1,910.34	$2,453.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,369.00 / $1,747.44 / $2,130.56	Professional		$1,369.00	$1,747.44	$2,130.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $992.09 / $1,348.97 / $1,553.21	Professional		$992.09	$1,348.97	$1,553.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $916.60 / $1,527.66 / $2,139.06	Professional		$916.60	$1,527.66	$2,139.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,479.60 / $1,740.70 / $1,810.40	Professional		$1,479.60	$1,740.70	$1,810.40