Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.02 / $753.02 / $753.02	Facility		$753.02	$753.02	$753.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.44 / $753.02 / $1,811.96	Professional		$639.44	$753.02	$1,811.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.90 / $1,741.29 / $2,176.61	Professional		$1,265.90	$1,741.29	$2,176.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $918.56 / $1,167.86 / $1,505.97	Facility		$918.56	$1,167.86	$1,505.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $681.96 / $1,359.90 / $6,736.51	Professional		$681.96	$1,359.90	$6,736.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $895.75 / $1,730.03 / $2,408.92	Facility		$895.75	$1,730.03	$2,408.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $895.75 / $1,401.89 / $2,092.80	Professional		$895.75	$1,401.89	$2,092.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $771.95 / $1,144.02 / $1,534.45	Professional		$771.95	$1,144.02	$1,534.45
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 $691.44 / $1,359.90 / $2,133.98	Professional		$691.44	$1,359.90	$2,133.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,522.20 / $1,862.50 / $1,862.50	Professional		$1,522.20	$1,862.50	$1,862.50