Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.87 / $954.87 / $954.87	Facility		$954.87	$954.87	$954.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.31 / $954.87 / $1,157.78	Professional		$889.31	$954.87	$1,157.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,318.04 / $2,335.73 / $2,919.68	Professional		$2,318.04	$2,335.73	$2,919.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,271.71 / $1,613.73 / $2,770.37	Facility		$1,271.71	$1,613.73	$2,770.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,227.35 / $2,051.04 / $7,861.04	Professional		$1,227.35	$2,051.04	$7,861.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,600.75 / $2,609.34 / $3,293.26	Facility		$1,600.75	$2,609.34	$3,293.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,670.00 / $2,318.04 / $2,857.16	Professional		$1,670.00	$2,318.04	$2,857.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,283.38 / $1,751.43 / $2,060.38	Professional		$1,283.38	$1,751.43	$2,060.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,227.35 / $1,876.97 / $2,919.73	Professional		$1,227.35	$1,876.97	$2,919.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,008.00 / $2,362.30 / $2,456.80	Professional		$2,008.00	$2,362.30	$2,456.80