Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.34 / $863.34 / $863.34	Facility		$863.34	$863.34	$863.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.92 / $863.34 / $2,643.61	Professional		$803.92	$863.34	$2,643.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,097.52 / $2,112.14 / $2,640.18	Professional		$2,097.52	$2,112.14	$2,640.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,149.60 / $1,358.62 / $2,469.36	Facility		$1,149.60	$1,358.62	$2,469.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,005.82 / $1,828.76 / $8,328.64	Professional		$1,005.82	$1,828.76	$8,328.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,431.92 / $2,358.53 / $2,977.29	Facility		$1,431.92	$2,358.53	$2,977.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,724.64 / $2,097.52 / $2,583.34	Professional		$1,724.64	$2,097.52	$2,583.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.58 / $1,584.81 / $1,864.37	Professional		$1,148.58	$1,584.81	$1,864.37
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 $1,097.26 / $1,682.23 / $2,616.80	Professional		$1,097.26	$1,682.23	$2,616.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,816.90 / $2,137.60 / $2,223.10	Professional		$1,816.90	$2,137.60	$2,223.10