Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.75 / $861.75 / $861.75	Facility		$861.75	$861.75	$861.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.22 / $861.75 / $2,192.55	Professional		$733.22	$861.75	$2,192.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.19 / $1,978.91 / $2,473.64	Professional		$1,520.19	$1,978.91	$2,473.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,064.66 / $1,449.00 / $2,387.30	Facility		$1,064.66	$1,449.00	$2,387.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $824.61 / $1,742.03 / $9,880.20	Professional		$824.61	$1,742.03	$9,880.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,297.22 / $2,035.87 / $2,874.05	Facility		$1,297.22	$2,035.87	$2,874.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,297.22 / $1,886.60 / $2,475.23	Professional		$1,297.22	$1,886.60	$2,475.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,088.72 / $1,542.75 / $1,802.26	Professional		$1,088.72	$1,542.75	$1,802.26
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 $822.73 / $1,592.41 / $2,477.08	Professional		$822.73	$1,592.41	$2,477.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,787.90 / $2,187.60 / $2,187.60	Professional		$1,787.90	$2,187.60	$2,187.60