Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.83 / $986.25 / $986.25	Facility		$808.83	$986.25	$986.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.75 / $947.55 / $1,289.14	Professional		$798.75	$947.55	$1,289.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.86 / $2,245.29 / $2,906.04	Professional		$1,730.86	$2,245.29	$2,906.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,012.68 / $1,434.45 / $2,577.13	Facility		$1,012.68	$1,434.45	$2,577.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $902.43 / $2,505.28 / $7,531.76	Professional		$902.43	$2,505.28	$7,531.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,507.00 / $2,071.96 / $2,638.78	Facility		$1,507.00	$2,071.96	$2,638.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,379.00 / $2,065.76 / $2,677.49	Professional		$1,379.00	$2,065.76	$2,677.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,093.94 / $1,650.89 / $1,987.28	Professional		$1,093.94	$1,650.89	$1,987.28
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 $877.95 / $1,791.86 / $2,787.34	Professional		$877.95	$1,791.86	$2,787.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.00 / $1,851.20 / $2,228.40	Professional		$1,513.00	$1,851.20	$2,228.40