Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,089.00 / $3,511.00	Facility		$1,089.00	$1,089.00	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.03 / $1,089.00 / $2,206.77	Professional		$921.03	$1,089.00	$2,206.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.24 / $2,473.64 / $3,092.05	Professional		$1,900.24	$2,473.64	$3,092.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,439.02 / $1,842.06 / $2,949.25	Facility		$1,439.02	$1,842.06	$2,949.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,121.28 / $2,310.04 / $11,189.53	Professional		$1,121.28	$2,310.04	$11,189.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,709.04 / $2,495.61 / $2,994.18	Facility		$1,709.04	$2,495.61	$2,994.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,709.04 / $2,363.86 / $2,994.18	Professional		$1,709.04	$2,363.86	$2,994.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,372.50 / $1,905.96 / $2,218.21	Professional		$1,372.50	$1,905.96	$2,218.21
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 $1,121.28 / $1,964.48 / $3,055.86	Professional		$1,121.28	$1,964.48	$3,055.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,200.60 / $2,692.50 / $2,692.50	Professional		$2,200.60	$2,692.50	$2,692.50