Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.13 / $784.13 / $784.13	Facility		$784.13	$784.13	$784.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.82 / $784.13 / $1,136.16	Professional		$717.82	$784.13	$1,136.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.78 / $1,610.40 / $2,013.00	Professional		$1,518.78	$1,610.40	$2,013.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $752.66 / $1,227.06 / $1,989.43	Facility		$752.66	$1,227.06	$1,989.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $900.59 / $1,500.98 / $5,521.36	Professional		$900.59	$1,500.98	$5,521.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,215.45 / $1,831.73 / $2,363.07	Facility		$1,215.45	$1,831.73	$2,363.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,355.85 / $1,770.09 / $2,363.07	Professional		$1,355.85	$1,770.09	$2,363.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,040.35 / $1,297.08 / $1,478.81	Professional		$1,040.35	$1,297.08	$1,478.81
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 $900.59 / $1,521.24 / $2,105.23	Professional		$900.59	$1,521.24	$2,105.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,525.30 / $1,794.50 / $1,866.30	Professional		$1,525.30	$1,794.50	$1,866.30