Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.13 / $753.13 / $753.13	Facility		$753.13	$753.13	$753.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.22 / $753.13 / $2,292.50	Professional		$701.22	$753.13	$2,292.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,825.31 / $1,842.57 / $2,303.21	Professional		$1,825.31	$1,842.57	$2,303.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.74 / $1,272.79 / $2,163.71	Facility		$1,002.74	$1,272.79	$2,163.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $968.63 / $1,614.38 / $6,188.48	Professional		$968.63	$1,614.38	$6,188.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,260.88 / $2,054.03 / $2,593.54	Facility		$1,260.88	$2,054.03	$2,593.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,315.00 / $1,825.31 / $2,249.46	Professional		$1,315.00	$1,825.31	$2,249.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.58 / $1,379.15 / $1,622.43	Professional		$1,000.58	$1,379.15	$1,622.43
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 $968.63 / $1,473.53 / $2,292.16	Professional		$968.63	$1,473.53	$2,292.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,581.20 / $1,860.20 / $1,934.60	Professional		$1,581.20	$1,860.20	$1,934.60