Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.47 / $808.47 / $808.47	Facility		$808.47	$808.47	$808.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.74 / $1,112.74 / $2,324.83	Professional		$750.74	$1,112.74	$2,324.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.24 / $2,017.09 / $2,521.36	Professional		$1,967.24	$2,017.09	$2,521.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,073.56 / $1,366.31 / $2,403.46	Facility		$1,073.56	$1,366.31	$2,403.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.61 / $1,786.04 / $6,696.32	Professional		$1,071.61	$1,786.04	$6,696.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,398.25 / $2,224.58 / $2,742.64	Facility		$1,398.25	$2,224.58	$2,742.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,399.00 / $1,967.24 / $2,381.56	Professional		$1,399.00	$1,967.24	$2,381.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,108.70 / $1,496.34 / $1,748.57	Professional		$1,108.70	$1,496.34	$1,748.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $982.32 / $1,786.04 / $2,505.13	Professional		$982.32	$1,786.04	$2,505.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,704.10 / $2,004.80 / $2,085.00	Professional		$1,704.10	$2,004.80	$2,085.00