Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.80 / $628.80 / $628.80	Facility		$628.80	$628.80	$628.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.88 / $628.80 / $677.23	Professional		$569.88	$628.80	$677.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.55 / $1,508.34 / $1,885.42	Professional		$1,096.55	$1,508.34	$1,885.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $681.18 / $1,062.69 / $1,900.26	Facility		$681.18	$1,062.69	$1,900.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $770.04 / $1,283.40 / $9,818.02	Professional		$770.04	$1,283.40	$9,818.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,000.93 / $1,541.54 / $2,170.15	Facility		$1,000.93	$1,541.54	$2,170.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,000.93 / $1,486.66 / $1,869.70	Professional		$1,000.93	$1,486.66	$1,869.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $810.94 / $1,152.85 / $1,366.25	Professional		$810.94	$1,152.85	$1,366.25
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 $751.95 / $1,283.40 / $1,864.91	Professional		$751.95	$1,283.40	$1,864.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,355.40 / $1,658.30 / $1,658.30	Professional		$1,355.40	$1,658.30	$1,658.30