Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.42 / $958.42 / $958.42	Facility		$958.42	$958.42	$958.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.66 / $958.42 / $1,037.58	Professional		$866.66	$958.42	$1,037.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,662.38 / $2,286.66 / $2,858.32	Professional		$1,662.38	$2,286.66	$2,858.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,032.42 / $1,619.73 / $2,736.44	Facility		$1,032.42	$1,619.73	$2,736.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,166.33 / $1,995.20 / $7,675.60	Professional		$1,166.33	$1,995.20	$7,675.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,552.14 / $2,362.96 / $3,315.17	Facility		$1,552.14	$2,362.96	$3,315.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,329.67 / $2,849.95	Professional		$1,512.00	$2,329.67	$2,849.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,275.21 / $1,766.13 / $2,070.73	Professional		$1,275.21	$1,766.13	$2,070.73
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 $1,166.33 / $1,995.20 / $2,857.93	Professional		$1,166.33	$1,995.20	$2,857.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,054.19 / $2,513.40 / $2,513.40	Professional		$2,054.19	$2,513.40	$2,513.40