Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.26 / $779.26 / $779.26	Facility		$779.26	$779.26	$779.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.27 / $779.26 / $824.68	Professional		$699.27	$779.26	$824.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.37 / $1,846.47 / $2,308.08	Professional		$1,342.37	$1,846.47	$2,308.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $802.37 / $1,316.95 / $2,337.90	Facility		$802.37	$1,316.95	$2,337.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,004.64 / $1,581.01 / $7,007.28	Professional		$1,004.64	$1,581.01	$7,007.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,293.18 / $2,024.12 / $6,855.77	Facility		$1,293.18	$2,024.12	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,293.18 / $1,791.83 / $2,210.30	Professional		$1,293.18	$1,791.83	$2,210.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,010.36 / $1,396.94 / $1,592.67	Professional		$1,010.36	$1,396.94	$1,592.67
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 $1,007.88 / $1,723.83 / $2,290.06	Professional		$1,007.88	$1,723.83	$2,290.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,580.00 / $1,933.20 / $1,933.20	Professional		$1,580.00	$1,933.20	$1,933.20