Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.91 / $859.91 / $859.91	Facility		$859.91	$859.91	$859.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $848.44 / $859.91 / $1,139.42	Professional		$848.44	$859.91	$1,139.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.91 / $2,019.16 / $2,498.96	Professional		$1,998.91	$2,019.16	$2,498.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,176.93 / $1,433.86 / $2,469.71	Facility		$1,176.93	$1,433.86	$2,469.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,081.13 / $1,824.71 / $12,818.24	Professional		$1,081.13	$1,824.71	$12,818.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,405.95 / $2,228.87 / $2,911.60	Facility		$1,405.95	$2,228.87	$2,911.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,526.00 / $2,048.73 / $2,493.25	Professional		$1,526.00	$2,048.73	$2,493.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,177.01 / $1,591.49 / $1,821.02	Professional		$1,177.01	$1,591.49	$1,821.02
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 $1,081.13 / $1,801.88 / $2,527.98	Professional		$1,081.13	$1,801.88	$2,527.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,806.50 / $2,125.30 / $2,210.30	Professional		$1,806.50	$2,125.30	$2,210.30