Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.70 / $988.70 / $988.70	Facility		$988.70	$988.70	$988.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.53 / $988.70 / $988.70	Professional		$918.53	$988.70	$988.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,920.70 / $2,036.57 / $2,545.71	Professional		$1,920.70	$2,036.57	$2,545.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,223.05 / $1,670.90 / $3,052.12	Facility		$1,223.05	$1,670.90	$3,052.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,186.00 / $2,156.36 / $8,338.08	Professional		$1,186.00	$2,156.36	$8,338.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $2,329.37 / $3,048.21	Facility		$1,882.00	$2,329.37	$3,048.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,722.00 / $2,134.62 / $2,635.60	Professional		$1,722.00	$2,134.62	$2,635.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,240.32 / $1,664.18 / $1,969.20	Professional		$1,240.32	$1,664.18	$1,969.20
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 $1,186.00 / $2,043.99 / $2,622.65	Professional		$1,186.00	$2,043.99	$2,622.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,957.00 / $2,302.40 / $2,394.50	Professional		$1,957.00	$2,302.40	$2,394.50