Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.96 / $955.96 / $955.96	Facility		$955.96	$955.96	$955.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.26 / $955.96 / $955.96	Professional		$888.26	$955.96	$955.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,856.04 / $1,968.01 / $2,460.01	Professional		$1,856.04	$1,968.01	$2,460.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,183.34 / $1,615.57 / $2,952.72	Facility		$1,183.34	$1,615.57	$2,952.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,187.15 / $2,158.46 / $7,411.80	Professional		$1,187.15	$2,158.46	$7,411.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,866.00 / $2,254.29 / $2,950.19	Facility		$1,866.00	$2,254.29	$2,950.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,708.00 / $2,065.48 / $2,552.71	Professional		$1,708.00	$2,065.48	$2,552.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,222.58 / $1,610.28 / $1,904.80	Professional		$1,222.58	$1,610.28	$1,904.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.15 / $1,818.27 / $2,540.38	Professional		$1,187.15	$1,818.27	$2,540.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,893.70 / $2,227.80 / $2,316.90	Professional		$1,893.70	$2,227.80	$2,316.90