Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.03 / $860.03 / $860.03	Facility		$860.03	$860.03	$860.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.12 / $860.03 / $2,068.25	Professional		$725.12	$860.03	$2,068.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.03 / $1,957.88 / $2,447.35	Professional		$1,504.03	$1,957.88	$2,447.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,041.63 / $1,415.43 / $2,215.78	Facility		$1,041.63	$1,415.43	$2,215.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $808.74 / $1,747.18 / $6,793.00	Professional		$808.74	$1,747.18	$6,793.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,587.48 / $2,282.44 / $3,711.03	Facility		$1,587.48	$2,282.44	$3,711.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,282.76 / $1,786.44 / $2,315.92	Professional		$1,282.76	$1,786.44	$2,315.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $947.90 / $1,453.39 / $1,709.76	Professional		$947.90	$1,453.39	$1,709.76
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 $915.19 / $1,515.42 / $2,357.32	Professional		$915.19	$1,515.42	$2,357.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,696.10 / $2,075.30 / $2,075.30	Professional		$1,696.10	$2,075.30	$2,075.30