Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.29 / $881.29 / $881.29	Facility		$881.29	$881.29	$881.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.60 / $881.29 / $2,677.64	Professional		$794.60	$881.29	$2,677.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,037.11 / $2,087.21 / $2,609.01	Professional		$2,037.11	$2,087.21	$2,609.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,136.28 / $1,489.38 / $2,493.63	Facility		$1,136.28	$1,489.38	$2,493.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,115.58 / $1,859.30 / $7,127.82	Professional		$1,115.58	$1,859.30	$7,127.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,455.70 / $2,303.66 / $2,841.73	Facility		$1,455.70	$2,303.66	$2,841.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,549.00 / $2,037.11 / $2,465.64	Professional		$1,549.00	$2,037.11	$2,465.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,166.35 / $1,552.04 / $1,810.67	Professional		$1,166.35	$1,552.04	$1,810.67
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 $1,202.58 / $1,942.63 / $2,596.66	Professional		$1,202.58	$1,942.63	$2,596.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,796.30 / $2,113.19 / $2,197.80	Professional		$1,796.30	$2,113.19	$2,197.80