Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.71 / $825.71 / $825.71	Facility		$825.71	$825.71	$825.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.72 / $825.71 / $825.71	Professional		$761.72	$825.71	$825.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,595.20 / $1,691.43 / $2,114.28	Professional		$1,595.20	$1,691.43	$2,114.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $795.84 / $1,287.31 / $2,338.51	Facility		$795.84	$1,287.31	$2,338.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $993.42 / $1,655.70 / $5,814.08	Professional		$993.42	$1,655.70	$5,814.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,695.22 / $1,929.13 / $2,528.87	Facility		$1,695.22	$1,929.13	$2,528.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,485.48 / $1,863.97 / $2,401.61	Professional		$1,485.48	$1,863.97	$2,401.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,049.17 / $1,370.27 / $1,562.26	Professional		$1,049.17	$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 $1,033.74 / $1,603.12 / $2,201.75	Professional		$1,033.74	$1,603.12	$2,201.75
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