Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.15 / $967.15 / $967.15	Facility		$967.15	$967.15	$967.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.51 / $967.15 / $2,422.65	Professional		$817.51	$967.15	$2,422.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,901.22 / $2,176.03 / $2,720.03	Professional		$1,901.22	$2,176.03	$2,720.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,286.91 / $1,690.07 / $2,686.30	Facility		$1,286.91	$1,690.07	$2,686.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,038.91 / $2,050.52 / $11,477.92	Professional		$1,038.91	$2,050.52	$11,477.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,526.28 / $2,297.60 / $3,163.95	Facility		$1,526.28	$2,297.60	$3,163.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,526.28 / $2,236.52 / $2,729.85	Professional		$1,526.28	$2,236.52	$2,729.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,279.07 / $1,731.90 / $1,987.92	Professional		$1,279.07	$1,731.90	$1,987.92
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.91 / $1,769.67 / $2,752.82	Professional		$1,038.91	$1,769.67	$2,752.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,972.10 / $2,412.90 / $2,412.90	Professional		$1,972.10	$2,412.90	$2,412.90