Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.15 / $948.15 / $948.15	Facility		$948.15	$948.15	$948.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $996.79 / $1,216.55	Professional		$910.65	$996.79	$1,216.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.09 / $2,414.42 / $3,018.04	Professional		$2,194.09	$2,414.42	$3,018.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,225.20 / $1,602.37 / $2,963.21	Facility		$1,225.20	$1,602.37	$2,963.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,293.23 / $2,155.38 / $8,326.08	Professional		$1,293.23	$2,155.38	$8,326.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,623.34 / $2,538.13 / $2,602.35	Facility		$1,623.34	$2,538.13	$2,602.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,667.00 / $2,004.45 / $2,538.13	Professional		$1,667.00	$2,004.45	$2,538.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.45 / $1,932.35 / $2,273.21	Professional		$1,412.45	$1,932.35	$2,273.21
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 $1,185.46 / $1,923.21 / $2,340.12	Professional		$1,185.46	$1,923.21	$2,340.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,463.60 / $1,721.90 / $1,790.70	Professional		$1,463.60	$1,721.90	$1,790.70