Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.15 / $615.15 / $615.15	Facility		$615.15	$615.15	$615.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.16 / $615.15 / $652.17	Professional		$555.16	$615.15	$652.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.46 / $1,477.95 / $1,847.44	Professional		$1,074.46	$1,477.95	$1,847.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $658.51 / $1,039.59 / $1,650.79	Facility		$658.51	$1,039.59	$1,650.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $698.61 / $1,179.14 / $4,878.32	Professional		$698.61	$1,179.14	$4,878.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $916.00 / $1,471.48 / $2,099.23	Facility		$916.00	$1,471.48	$2,099.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $910.00 / $1,414.02 / $1,807.49	Professional		$910.00	$1,414.02	$1,807.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $709.02 / $984.37 / $1,320.32	Professional		$709.02	$984.37	$1,320.32
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 $675.06 / $1,179.14 / $1,799.50	Professional		$675.06	$1,179.14	$1,799.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,309.80 / $1,602.60 / $1,602.60	Professional		$1,309.80	$1,602.60	$1,602.60