Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.58 / $737.58 / $737.58	Facility		$737.58	$737.58	$737.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.05 / $737.58 / $803.44	Professional		$665.05	$737.58	$803.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.99 / $1,795.05 / $2,243.81	Professional		$1,304.99	$1,795.05	$2,243.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $829.08 / $1,246.51 / $2,263.55	Facility		$829.08	$1,246.51	$2,263.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $941.96 / $1,510.72 / $5,906.40	Professional		$941.96	$1,510.72	$5,906.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,223.11 / $1,836.42 / $2,548.69	Facility		$1,223.11	$1,836.42	$2,548.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,223.11 / $1,835.51 / $2,200.21	Professional		$1,223.11	$1,835.51	$2,200.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,014.72 / $1,386.85 / $1,631.48	Professional		$1,014.72	$1,386.85	$1,631.48
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 $863.47 / $1,422.02 / $2,212.03	Professional		$863.47	$1,422.02	$2,212.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,618.50 / $1,980.30 / $1,980.30	Professional		$1,618.50	$1,980.30	$1,980.30