Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.44 / $626.44 / $626.44	Facility		$626.44	$626.44	$626.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.42 / $626.44 / $673.36	Professional		$568.42	$626.44	$673.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.47 / $1,542.62 / $1,928.27	Professional		$1,121.47	$1,542.62	$1,928.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $697.60 / $1,058.68 / $1,903.52	Facility		$697.60	$1,058.68	$1,903.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $788.33 / $1,313.88 / $5,037.76	Professional		$788.33	$1,313.88	$5,037.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,024.23 / $1,574.21 / $2,153.44	Facility		$1,024.23	$1,574.21	$2,153.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,024.23 / $1,547.07 / $1,846.91	Professional		$1,024.23	$1,547.07	$1,846.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.80 / $1,152.28 / $1,399.24	Professional		$794.80	$1,152.28	$1,399.24
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 $788.33 / $1,313.88 / $1,856.20	Professional		$788.33	$1,313.88	$1,856.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,388.10 / $1,698.40 / $1,698.40	Professional		$1,388.10	$1,698.40	$1,698.40