Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.42 / $697.42 / $697.42	Facility		$697.42	$697.42	$697.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.47 / $697.42 / $1,599.14	Professional		$604.47	$697.42	$1,599.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,545.12 / $1,588.58 / $1,985.73	Professional		$1,545.12	$1,588.58	$1,985.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $864.39 / $1,178.64 / $1,958.56	Facility		$864.39	$1,178.64	$1,958.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $867.70 / $1,446.16 / $5,940.68	Professional		$867.70	$1,446.16	$5,940.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,127.52 / $1,747.98 / $2,151.38	Facility		$1,127.52	$1,747.98	$2,151.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,164.00 / $1,545.12 / $1,990.05	Professional		$1,164.00	$1,545.12	$1,990.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $917.70 / $1,220.86 / $1,373.37	Professional		$917.70	$1,220.86	$1,373.37
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 $913.51 / $1,405.40 / $2,019.86	Professional		$913.51	$1,405.40	$2,019.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,362.40 / $1,602.90 / $1,667.00	Professional		$1,362.40	$1,602.90	$1,667.00