Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.89 / $801.89 / $801.89	Facility		$801.89	$801.89	$801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.52 / $801.89 / $2,664.79	Professional		$749.52	$801.89	$2,664.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,981.03 / $2,000.73 / $2,500.91	Professional		$1,981.03	$2,000.73	$2,500.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.81 / $1,355.19 / $2,274.09	Facility		$1,071.81	$1,355.19	$2,274.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,057.06 / $1,828.04 / $6,830.80	Professional		$1,057.06	$1,828.04	$6,830.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,372.67 / $2,262.69 / $2,943.91	Facility		$1,372.67	$2,262.69	$2,943.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,478.00 / $1,981.03 / $2,567.71	Professional		$1,478.00	$1,981.03	$2,567.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,138.35 / $1,574.91 / $1,852.72	Professional		$1,138.35	$1,574.91	$1,852.72
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 $1,057.06 / $1,761.76 / $2,501.10	Professional		$1,057.06	$1,761.76	$2,501.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,805.60 / $2,124.19 / $2,209.19	Professional		$1,805.60	$2,124.19	$2,209.19