Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.28 / $906.28 / $906.28	Facility		$906.28	$906.28	$906.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.56 / $906.28 / $2,884.43	Professional		$775.56	$906.28	$2,884.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,048.77 / $2,089.55 / $2,611.92	Professional		$2,048.77	$2,089.55	$2,611.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,109.05 / $1,531.61 / $2,516.40	Facility		$1,109.05	$1,531.61	$2,516.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,100.63 / $1,894.14 / $7,562.06	Professional		$1,100.63	$1,894.14	$7,562.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,415.10 / $2,331.28 / $3,066.98	Facility		$1,415.10	$2,331.28	$3,066.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,453.00 / $2,099.98 / $2,685.41	Professional		$1,453.00	$2,099.98	$2,685.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,218.70 / $1,690.70 / $1,964.64	Professional		$1,218.70	$1,690.70	$1,964.64
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 $1,008.91 / $1,834.38 / $2,552.59	Professional		$1,008.91	$1,834.38	$2,552.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.00 / $2,292.90 / $2,384.69	Professional		$1,949.00	$2,292.90	$2,384.69