Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.50 / $774.50 / $774.50	Facility		$774.50	$774.50	$774.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.93 / $1,039.42 / $1,907.80	Professional		$724.93	$1,039.42	$1,907.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,753.72 / $1,929.83 / $2,412.29	Professional		$1,753.72	$1,929.83	$2,412.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,036.65 / $1,481.47 / $2,466.71	Facility		$1,036.65	$1,481.47	$2,466.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,067.54 / $1,779.24 / $6,672.80	Professional		$1,067.54	$1,779.24	$6,672.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,342.22 / $2,077.56 / $2,189.71	Facility		$1,342.22	$2,077.56	$2,189.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,550.12 / $1,703.00 / $2,103.88	Professional		$1,550.12	$1,703.00	$2,103.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,170.26 / $1,597.23 / $1,821.02	Professional		$1,170.26	$1,597.23	$1,821.02
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 $1,006.29 / $1,600.42 / $1,876.74	Professional		$1,006.29	$1,600.42	$1,876.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,172.40 / $1,379.30 / $1,434.50	Professional		$1,172.40	$1,379.30	$1,434.50