Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.27 / $967.27 / $967.27	Facility		$967.27	$967.27	$967.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.05 / $967.27 / $2,859.60	Professional		$796.05	$967.27	$2,859.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,097.07 / $2,118.31 / $2,621.67	Professional		$2,097.07	$2,118.31	$2,621.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,138.34 / $1,619.78 / $2,604.83	Facility		$1,138.34	$1,619.78	$2,604.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,127.33 / $1,908.83 / $7,254.95	Professional		$1,127.33	$1,908.83	$7,254.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,467.23 / $2,350.42 / $3,038.83	Facility		$1,467.23	$2,350.42	$3,038.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,622.00 / $2,151.36 / $2,622.97	Professional		$1,622.00	$2,151.36	$2,622.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,235.14 / $1,677.23 / $1,912.24	Professional		$1,235.14	$1,677.23	$1,912.24
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 $1,127.33 / $1,957.98 / $2,646.36	Professional		$1,127.33	$1,957.98	$2,646.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,821.60 / $2,143.10 / $2,228.80	Professional		$1,821.60	$2,143.10	$2,228.80