Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.51 / $950.51 / $950.51	Facility		$950.51	$950.51	$950.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $881.61 / $950.51 / $1,097.07	Professional		$881.61	$950.51	$1,097.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,310.03 / $2,366.91 / $2,958.63	Professional		$2,310.03	$2,366.91	$2,958.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,260.70 / $1,606.36 / $2,882.26	Facility		$1,260.70	$1,606.36	$2,882.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.81 / $2,098.02 / $8,061.00	Professional		$1,258.81	$2,098.02	$8,061.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,785.00 / $2,614.04 / $3,226.53	Facility		$1,785.00	$2,614.04	$3,226.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,794.00 / $2,310.03 / $2,800.71	Professional		$1,794.00	$2,310.03	$2,800.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,322.93 / $1,774.25 / $2,053.26	Professional		$1,322.93	$1,774.25	$2,053.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.42 / $2,099.10 / $2,947.25	Professional		$1,364.42	$2,099.10	$2,947.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,001.00 / $2,354.19 / $2,448.30	Professional		$2,001.00	$2,354.19	$2,448.30