Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.70 / $1,209.70 / $3,511.00	Facility		$1,209.70	$1,209.70	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.84 / $1,209.70 / $2,400.00	Professional		$1,019.84	$1,209.70	$2,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,110.91 / $2,747.89 / $3,434.86	Professional		$2,110.91	$2,747.89	$3,434.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,586.55 / $1,996.77 / $3,200.51	Facility		$1,586.55	$1,996.77	$3,200.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,170.61 / $2,494.96 / $9,345.25	Professional		$1,170.61	$2,494.96	$9,345.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,837.79 / $3,064.45 / $19,924.24	Facility		$1,837.79	$3,064.45	$19,924.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,837.79 / $2,551.77 / $3,286.75	Professional		$1,837.79	$2,551.77	$3,286.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,466.97 / $2,053.33 / $2,415.52	Professional		$1,466.97	$2,053.33	$2,415.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,306.89 / $2,376.16 / $3,348.77	Professional		$1,306.89	$2,376.16	$3,348.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,396.30 / $2,931.90 / $2,931.90	Professional		$2,396.30	$2,931.90	$2,931.90