Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.64 / $972.64 / $972.64	Facility		$972.64	$972.64	$972.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.70 / $972.64 / $1,010.12	Professional		$827.70	$972.64	$1,010.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,209.23 / $2,224.73 / $2,761.91	Professional		$2,209.23	$2,224.73	$2,761.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,183.60 / $1,575.25 / $2,649.78	Facility		$1,183.60	$1,575.25	$2,649.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,168.04 / $1,992.95 / $7,428.48	Professional		$1,168.04	$1,992.95	$7,428.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,645.00 / $2,729.43 / $5,090.60	Facility		$1,645.00	$2,729.43	$5,090.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,671.00 / $2,258.35 / $2,759.88	Professional		$1,671.00	$2,258.35	$2,759.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,251.94 / $1,706.34 / $2,007.33	Professional		$1,251.94	$1,706.34	$2,007.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.22 / $2,157.94 / $2,762.20	Professional		$1,288.22	$2,157.94	$2,762.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,956.30 / $2,301.50 / $2,393.60	Professional		$1,956.30	$2,301.50	$2,393.60