Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.90 / $825.90 / $825.90	Facility		$825.90	$825.90	$825.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.15 / $825.90 / $825.90	Professional		$761.15	$825.90	$825.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,593.73 / $1,689.87 / $2,112.33	Professional		$1,593.73	$1,689.87	$2,112.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,021.82 / $1,395.77 / $2,198.91	Facility		$1,021.82	$1,395.77	$2,198.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $868.12 / $1,613.05 / $10,057.00	Professional		$868.12	$1,613.05	$10,057.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $1,928.54 / $2,530.96	Facility		$1,450.00	$1,928.54	$2,530.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,757.63 / $2,210.30	Professional		$1,300.00	$1,757.63	$2,210.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,037.93 / $1,370.27 / $1,562.26	Professional		$1,037.93	$1,370.27	$1,562.26
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 $868.12 / $1,578.40 / $2,208.92	Professional		$868.12	$1,578.40	$2,208.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,611.40 / $1,895.80 / $1,971.60	Professional		$1,611.40	$1,895.80	$1,971.60