Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $868.87 / $868.87	Facility		$81.00	$868.87	$868.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.66 / $868.87 / $2,782.83	Professional		$806.66	$868.87	$2,782.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,114.26 / $2,165.12 / $2,706.40	Professional		$2,114.26	$2,165.12	$2,706.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,153.52 / $1,468.39 / $2,691.09	Facility		$1,153.52	$1,468.39	$2,691.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,154.03 / $1,923.38 / $7,307.00	Professional		$1,154.03	$1,923.38	$7,307.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,724.00 / $2,482.96 / $3,079.87	Facility		$1,724.00	$2,482.96	$3,079.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,794.90 / $2,114.26 / $2,560.51	Professional		$1,794.90	$2,114.26	$2,560.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,212.22 / $1,614.12 / $1,879.24	Professional		$1,212.22	$1,614.12	$1,879.24
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 $1,154.03 / $1,923.38 / $2,698.30	Professional		$1,154.03	$1,923.38	$2,698.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,831.40 / $2,154.60 / $2,240.80	Professional		$1,831.40	$2,154.60	$2,240.80