Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $875.37 / $875.37 / $875.37	Facility		$875.37	$875.37	$875.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.14 / $875.37 / $2,657.58	Professional		$787.14	$875.37	$2,657.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,015.26 / $2,066.94 / $2,583.69	Professional		$2,015.26	$2,066.94	$2,583.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,125.60 / $1,479.38 / $2,471.52	Facility		$1,125.60	$1,479.38	$2,471.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,099.08 / $1,831.80 / $7,413.45	Professional		$1,099.08	$1,831.80	$7,413.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,433.44 / $2,279.77 / $2,817.74	Facility		$1,433.44	$2,279.77	$2,817.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,569.00 / $2,015.26 / $2,453.62	Professional		$1,569.00	$2,015.26	$2,453.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,161.60 / $1,543.33 / $1,791.27	Professional		$1,161.60	$1,543.33	$1,791.27
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 $1,099.08 / $1,831.48 / $2,575.38	Professional		$1,099.08	$1,831.48	$2,575.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,777.00 / $2,090.60 / $2,174.19	Professional		$1,777.00	$2,090.60	$2,174.19