Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.70 / $981.70 / $981.70	Facility		$981.70	$981.70	$981.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.49 / $981.70 / $3,152.97	Professional		$910.49	$981.70	$3,152.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,386.44 / $2,443.26 / $3,054.07	Professional		$2,386.44	$2,443.26	$3,054.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,302.00 / $1,659.07 / $2,993.43	Facility		$1,302.00	$1,659.07	$2,993.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,331.26 / $2,218.76 / $8,134.08	Professional		$1,331.26	$2,218.76	$8,134.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,736.95 / $2,702.54 / $3,336.02	Facility		$1,736.95	$2,702.54	$3,336.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,806.00 / $2,386.44 / $2,896.79	Professional		$1,806.00	$2,386.44	$2,896.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,372.66 / $1,841.55 / $2,121.19	Professional		$1,372.66	$1,841.55	$2,121.19
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 $1,220.32 / $1,962.90 / $3,053.40	Professional		$1,220.32	$1,962.90	$3,053.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,067.19 / $2,432.00 / $2,529.30	Professional		$2,067.19	$2,432.00	$2,529.30