Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.46 / $985.46 / $985.46	Facility		$985.46	$985.46	$985.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.32 / $985.46 / $985.46	Professional		$912.32	$985.46	$985.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.95 / $2,024.10 / $2,530.13	Professional		$1,908.95	$2,024.10	$2,530.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $946.29 / $1,541.82 / $2,449.00	Facility		$946.29	$1,541.82	$2,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,131.95 / $1,886.58 / $6,937.52	Professional		$1,131.95	$1,886.58	$6,937.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,527.68 / $2,301.56 / $2,970.01	Facility		$1,527.68	$2,301.56	$2,970.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,703.64 / $2,224.82 / $2,970.01	Professional		$1,703.64	$2,224.82	$2,970.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,308.09 / $1,630.71 / $1,859.19	Professional		$1,308.09	$1,630.71	$1,859.19
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 $1,131.95 / $1,980.91 / $2,646.11	Professional		$1,131.95	$1,980.91	$2,646.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,917.70 / $2,256.10 / $2,346.30	Professional		$1,917.70	$2,256.10	$2,346.30