Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.55 / $999.55 / $999.55	Facility		$999.55	$999.55	$999.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.57 / $999.55 / $1,085.13	Professional		$904.57	$999.55	$1,085.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.18 / $2,384.05 / $2,980.06	Professional		$1,733.18	$2,384.05	$2,980.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,084.16 / $1,689.24 / $2,885.62	Facility		$1,084.16	$1,689.24	$2,885.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,218.36 / $2,114.88 / $8,046.08	Professional		$1,218.36	$2,114.88	$8,046.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,649.82 / $2,481.96 / $3,433.03	Facility		$1,649.82	$2,481.96	$3,433.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,589.00 / $2,446.85 / $2,982.58	Professional		$1,589.00	$2,446.85	$2,982.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,354.41 / $1,857.80 / $2,174.88	Professional		$1,354.41	$1,857.80	$2,174.88
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 $1,163.18 / $2,037.65 / $2,989.17	Professional		$1,163.18	$2,037.65	$2,989.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,157.60 / $2,639.80 / $2,639.80	Professional		$2,157.60	$2,639.80	$2,639.80