Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.09 / $890.09 / $1,652.25	Facility		$890.09	$890.09	$1,652.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.36 / $1,139.02 / $3,422.94	Professional		$842.36	$1,139.02	$3,422.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,937.39 / $2,023.32 / $2,529.15	Professional		$1,937.39	$2,023.32	$2,529.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $945.04 / $1,504.25 / $2,466.19	Facility		$945.04	$1,504.25	$2,466.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,050.08 / $1,750.14 / $7,712.32	Professional		$1,050.08	$1,750.14	$7,712.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,420.00 / $2,352.44 / $5,269.25	Facility		$1,420.00	$2,352.44	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,273.00 / $1,937.39 / $2,419.98	Professional		$1,273.00	$1,937.39	$2,419.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,086.79 / $1,477.19 / $1,722.05	Professional		$1,086.79	$1,477.19	$1,722.05
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 $1,050.08 / $1,750.14 / $2,447.87	Professional		$1,050.08	$1,750.14	$2,447.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,678.20 / $1,974.40 / $2,053.40	Professional		$1,678.20	$1,974.40	$2,053.40