Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.24 / $454.24 / $454.24	Facility		$454.24	$454.24	$454.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.70 / $454.24 / $454.24	Professional		$418.70	$454.24	$454.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.59 / $929.47 / $1,161.83	Professional		$876.59	$929.47	$1,161.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $437.69 / $747.99 / $1,669.08	Facility		$437.69	$747.99	$1,669.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $713.99 / $1,189.98 / $3,197.04	Professional		$713.99	$1,189.98	$3,197.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $966.51 / $1,230.01 / $1,448.49	Facility		$966.51	$1,230.01	$1,448.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $816.78 / $1,230.01 / $1,448.49	Professional		$816.78	$1,230.01	$1,448.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $640.49 / $816.19 / $1,074.53	Professional		$640.49	$816.19	$1,074.53
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 $654.49 / $1,069.81 / $1,664.15	Professional		$654.49	$1,069.81	$1,664.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $886.10 / $1,042.50 / $1,084.20	Professional		$886.10	$1,042.50	$1,084.20