Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.34 / $875.34 / $875.34	Facility		$875.34	$875.34	$875.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.39 / $875.34 / $2,658.84	Professional		$789.39	$875.34	$2,658.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,022.55 / $2,073.19 / $2,591.48	Professional		$2,022.55	$2,073.19	$2,591.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,128.83 / $1,479.32 / $2,476.58	Facility		$1,128.83	$1,479.32	$2,476.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,101.33 / $1,835.56 / $6,888.32	Professional		$1,101.33	$1,835.56	$6,888.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,437.77 / $2,288.44 / $2,821.89	Facility		$1,437.77	$2,288.44	$2,821.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,555.00 / $2,022.55 / $2,448.82	Professional		$1,555.00	$2,022.55	$2,448.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,157.72 / $1,541.59 / $1,797.74	Professional		$1,157.72	$1,541.59	$1,797.74
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 $1,101.33 / $1,657.35 / $2,578.10	Professional		$1,101.33	$1,657.35	$2,578.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,783.40 / $2,098.10 / $2,182.10	Professional		$1,783.40	$2,098.10	$2,182.10