Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.14 / $1,292.14 / $3,511.00	Facility		$1,292.14	$1,292.14	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.71 / $1,292.14 / $3,394.75	Professional		$1,175.71	$1,292.14	$3,394.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,428.11 / $3,160.81 / $3,951.01	Professional		$2,428.11	$3,160.81	$3,951.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,649.89 / $2,000.00 / $3,463.83	Facility		$1,649.89	$2,000.00	$3,463.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,186.56 / $2,692.39 / $11,054.14	Professional		$1,186.56	$2,692.39	$11,054.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,802.85 / $2,824.47 / $3,562.35	Facility		$1,802.85	$2,824.47	$3,562.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,661.00 / $2,791.90 / $3,562.35	Professional		$1,661.00	$2,791.90	$3,562.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,357.04 / $2,275.83 / $2,795.90	Professional		$1,357.04	$2,275.83	$2,795.90
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 $1,410.30 / $2,564.17 / $3,611.05	Professional		$1,410.30	$2,564.17	$3,611.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,773.60 / $3,393.60 / $3,393.60	Professional		$2,773.60	$3,393.60	$3,393.60