Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.70 / $555.70 / $555.70	Facility		$555.70	$555.70	$555.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.39 / $555.70 / $1,668.82	Professional		$501.39	$555.70	$1,668.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.65 / $1,318.24 / $1,647.80	Professional		$1,281.65	$1,318.24	$1,647.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $716.99 / $939.13 / $1,548.90	Facility		$716.99	$939.13	$1,548.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $692.54 / $1,154.24 / $11,060.00	Professional		$692.54	$1,154.24	$11,060.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $901.35 / $1,447.76 / $1,781.14	Facility		$901.35	$1,447.76	$1,781.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $984.00 / $1,281.65 / $1,549.28	Professional		$984.00	$1,281.65	$1,549.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $727.42 / $968.37 / $1,139.19	Professional		$727.42	$968.37	$1,139.19
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 $692.54 / $1,044.14 / $1,624.22	Professional		$692.54	$1,044.14	$1,624.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,130.09 / $1,329.60 / $1,382.70	Professional		$1,130.09	$1,329.60	$1,382.70