Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.99 / $936.99 / $936.99	Facility		$936.99	$936.99	$936.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.65 / $936.99 / $936.99	Professional		$870.65	$936.99	$936.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,822.24 / $1,932.17 / $2,415.21	Professional		$1,822.24	$1,932.17	$2,415.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,157.40 / $1,583.51 / $2,907.26	Facility		$1,157.40	$1,583.51	$2,907.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $998.91 / $1,819.36 / $6,645.92	Professional		$998.91	$1,819.36	$6,645.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,786.00 / $2,204.34 / $2,881.36	Facility		$1,786.00	$2,204.34	$2,881.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,635.00 / $2,018.90 / $2,488.96	Professional		$1,635.00	$2,018.90	$2,488.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,123.13 / $1,573.97 / $1,876.37	Professional		$1,123.13	$1,573.97	$1,876.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $998.91 / $1,841.46 / $2,479.01	Professional		$998.91	$1,841.46	$2,479.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,851.00 / $2,177.60 / $2,264.69	Professional		$1,851.00	$2,177.60	$2,264.69