Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.23 / $929.23 / $929.23	Facility		$929.23	$929.23	$929.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.81 / $929.23 / $2,935.06	Professional		$795.81	$929.23	$2,935.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,101.51 / $2,147.98 / $2,684.97	Professional		$2,101.51	$2,147.98	$2,684.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,138.01 / $1,457.24 / $2,561.51	Facility		$1,138.01	$1,457.24	$2,561.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,105.51 / $1,924.85 / $9,186.74	Professional		$1,105.51	$1,924.85	$9,186.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,420.38 / $2,385.84 / $3,125.38	Facility		$1,420.38	$2,385.84	$3,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,410.00 / $2,154.05 / $2,739.46	Professional		$1,410.00	$2,154.05	$2,739.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,138.50 / $1,719.13 / $2,007.98	Professional		$1,138.50	$1,719.13	$2,007.98
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 $1,105.51 / $2,013.33 / $2,604.84	Professional		$1,105.51	$2,013.33	$2,604.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,992.00 / $2,343.50 / $2,437.30	Professional		$1,992.00	$2,343.50	$2,437.30