Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.29 / $827.29 / $827.29	Facility		$827.29	$827.29	$827.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.69 / $827.29 / $827.29	Professional		$762.69	$827.29	$827.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,596.67 / $1,692.98 / $2,116.23	Professional		$1,596.67	$1,692.98	$2,116.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $797.59 / $1,288.95 / $2,199.31	Facility		$797.59	$1,288.95	$2,199.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $947.56 / $1,579.26 / $5,823.84	Professional		$947.56	$1,579.26	$5,823.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,761.28 / $2,174.73 / $2,536.17	Facility		$1,761.28	$2,174.73	$2,536.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,428.30 / $1,868.59 / $2,536.17	Professional		$1,428.30	$1,868.59	$2,536.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,048.54 / $1,373.11 / $1,565.50	Professional		$1,048.54	$1,373.11	$1,565.50
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 $947.56 / $1,579.26 / $2,207.55	Professional		$947.56	$1,579.26	$2,207.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,614.70 / $1,899.70 / $1,975.70	Professional		$1,614.70	$1,899.70	$1,975.70