Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $803.00 / $803.00	Facility		$803.00	$803.00	$803.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.60 / $803.00 / $2,347.41	Professional		$660.60	$803.00	$2,347.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,740.29 / $1,757.91 / $2,175.64	Professional		$1,740.29	$1,757.91	$2,175.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $944.66 / $1,357.07 / $2,136.27	Facility		$944.66	$1,357.07	$2,136.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $938.18 / $1,573.00 / $5,871.04	Professional		$938.18	$1,573.00	$5,871.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,218.85 / $1,946.50 / $2,516.36	Facility		$1,218.85	$1,946.50	$2,516.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,444.02 / $1,779.46 / $2,171.39	Professional		$1,444.02	$1,779.46	$2,171.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,012.85 / $1,377.98 / $1,581.67	Professional		$1,012.85	$1,377.98	$1,581.67
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 $938.18 / $1,631.83 / $2,184.69	Professional		$938.18	$1,631.83	$2,184.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,506.70 / $1,772.60 / $1,843.50	Professional		$1,506.70	$1,772.60	$1,843.50