Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.16 / $982.16 / $982.16	Facility		$982.16	$982.16	$982.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.00 / $982.16 / $982.16	Professional		$913.00	$982.16	$982.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,911.88 / $2,027.22 / $2,534.02	Professional		$1,911.88	$2,027.22	$2,534.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,213.90 / $1,659.85 / $3,049.41	Facility		$1,213.90	$1,659.85	$3,049.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,161.81 / $2,112.38 / $10,574.00	Professional		$1,161.81	$2,112.38	$10,574.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $2,312.86 / $3,021.09	Facility		$1,890.00	$2,312.86	$3,021.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,730.00 / $2,120.81 / $2,610.10	Professional		$1,730.00	$2,120.81	$2,610.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.80 / $1,653.40 / $1,967.46	Professional		$1,230.80	$1,653.40	$1,967.46
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 $1,161.81 / $1,932.00 / $2,601.12	Professional		$1,161.81	$1,932.00	$2,601.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,944.40 / $2,287.50 / $2,379.00	Professional		$1,944.40	$2,287.50	$2,379.00