Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.34 / $663.34 / $663.34	Facility		$663.34	$663.34	$663.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.76 / $663.34 / $2,057.48	Professional		$596.76	$663.34	$2,057.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.37 / $1,562.87 / $1,953.59	Professional		$1,536.37	$1,562.87	$1,953.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $853.37 / $1,121.04 / $1,921.90	Facility		$853.37	$1,121.04	$1,921.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.26 / $1,418.76 / $5,240.88	Professional		$851.26	$1,418.76	$5,240.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,268.00 / $1,856.12 / $4,555.17	Facility		$1,268.00	$1,856.12	$4,555.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,208.00 / $1,536.37 / $1,867.54	Professional		$1,208.00	$1,536.37	$1,867.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $894.35 / $1,192.31 / $1,365.61	Professional		$894.35	$1,192.31	$1,365.61
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 $933.26 / $1,865.63 / $1,982.88	Professional		$933.26	$1,865.63	$1,982.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,354.70 / $1,593.80 / $1,657.60	Professional		$1,354.70	$1,593.80	$1,657.60