Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.04 / $949.04 / $949.04	Facility		$949.04	$949.04	$949.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.13 / $949.04 / $1,037.01	Professional		$861.13	$949.04	$1,037.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,649.92 / $2,269.52 / $2,836.90	Professional		$1,649.92	$2,269.52	$2,836.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,050.25 / $1,603.88 / $2,805.11	Facility		$1,050.25	$1,603.88	$2,805.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,228.31 / $2,047.18 / $7,661.92	Professional		$1,228.31	$2,047.18	$7,661.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,596.92 / $2,383.13 / $3,283.87	Facility		$1,596.92	$2,383.13	$3,283.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,596.92 / $2,324.59 / $2,836.74	Professional		$1,596.92	$2,324.59	$2,836.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,248.73 / $1,809.64 / $2,066.19	Professional		$1,248.73	$1,809.64	$2,066.19
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 $1,125.95 / $1,954.36 / $2,855.75	Professional		$1,125.95	$1,954.36	$2,855.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,049.69 / $2,507.90 / $2,507.90	Professional		$2,049.69	$2,507.90	$2,507.90