Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.05 / $983.05 / $983.05	Facility		$983.05	$983.05	$983.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $911.91 / $983.05 / $3,143.88	Professional		$911.91	$983.05	$3,143.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,389.37 / $2,448.71 / $3,060.89	Professional		$2,389.37	$2,448.71	$3,060.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,304.03 / $1,661.35 / $2,924.31	Facility		$1,304.03	$1,661.35	$2,924.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,305.64 / $2,176.06 / $8,139.92	Professional		$1,305.64	$2,176.06	$8,139.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,704.45 / $2,704.33 / $3,336.02	Facility		$1,704.45	$2,704.33	$3,336.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,772.00 / $2,389.37 / $2,896.79	Professional		$1,772.00	$2,389.37	$2,896.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,368.34 / $1,819.51 / $2,123.77	Professional		$1,368.34	$1,819.51	$2,123.77
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 $1,305.64 / $2,176.06 / $3,050.26	Professional		$1,305.64	$2,176.06	$3,050.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,069.80 / $2,435.00 / $2,532.40	Professional		$2,069.80	$2,435.00	$2,532.40