Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.60 / $774.60 / $774.60	Facility		$774.60	$774.60	$774.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.26 / $774.60 / $774.60	Professional		$714.26	$774.60	$774.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.74 / $1,587.03 / $1,983.78	Professional		$1,496.74	$1,587.03	$1,983.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.13 / $1,207.09 / $2,048.46	Facility		$747.13	$1,207.09	$2,048.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $893.40 / $1,489.00 / $5,451.76	Professional		$893.40	$1,489.00	$5,451.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,484.97 / $1,808.91 / $2,372.44	Facility		$1,484.97	$1,808.91	$2,372.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,392.90 / $1,741.52 / $2,372.44	Professional		$1,392.90	$1,741.52	$2,372.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $974.35 / $1,286.30 / $1,466.52	Professional		$974.35	$1,286.30	$1,466.52
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 $893.40 / $1,489.00 / $2,064.50	Professional		$893.40	$1,489.00	$2,064.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,512.70 / $1,779.60 / $1,850.80	Professional		$1,512.70	$1,779.60	$1,850.80