Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.59 / $951.59 / $951.59	Facility		$951.59	$951.59	$951.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.30 / $951.59 / $3,024.36	Professional		$814.30	$951.59	$3,024.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,133.44 / $2,195.50 / $2,744.38	Professional		$2,133.44	$2,195.50	$2,744.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,053.74 / $1,376.17 / $2,639.57	Facility		$1,053.74	$1,376.17	$2,639.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,085.04 / $1,898.82 / $7,492.71	Professional		$1,085.04	$1,898.82	$7,492.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,400.04 / $2,446.71 / $3,217.14	Facility		$1,400.04	$2,446.71	$3,217.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $2,133.44 / $2,818.73	Professional		$1,251.00	$2,133.44	$2,818.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,063.38 / $1,773.09 / $2,062.32	Professional		$1,063.38	$1,773.09	$2,062.32
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 $1,085.04 / $1,898.82 / $2,678.65	Professional		$1,085.04	$1,898.82	$2,678.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,045.90 / $2,406.90 / $2,503.19	Professional		$2,045.90	$2,406.90	$2,503.19