Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.75 / $896.75 / $896.75	Facility		$896.75	$896.75	$896.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.65 / $896.75 / $2,727.40	Professional		$808.65	$896.75	$2,727.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,072.77 / $2,123.05 / $2,653.81	Professional		$2,072.77	$2,123.05	$2,653.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,156.36 / $1,515.51 / $2,540.44	Facility		$1,156.36	$1,515.51	$2,540.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,141.03 / $1,901.72 / $7,127.82	Professional		$1,141.03	$1,901.72	$7,127.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,488.80 / $2,345.23 / $2,891.77	Facility		$1,488.80	$2,345.23	$2,891.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $2,072.77 / $2,508.87	Professional		$1,600.00	$2,072.77	$2,508.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,187.56 / $1,581.05 / $1,842.37	Professional		$1,187.56	$1,581.05	$1,842.37
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 $1,141.03 / $1,883.40 / $2,643.98	Professional		$1,141.03	$1,883.40	$2,643.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,827.70 / $2,150.19 / $2,236.19	Professional		$1,827.70	$2,150.19	$2,236.19