Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.21 / $1,246.21 / $1,246.21	Facility		$1,246.21	$1,246.21	$1,246.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.41 / $1,246.21 / $3,409.27	Professional		$1,006.41	$1,246.21	$3,409.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,484.88 / $2,652.84 / $3,316.04	Professional		$2,484.88	$2,652.84	$3,316.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,262.95 / $1,965.13 / $3,807.64	Facility		$1,262.95	$1,965.13	$3,807.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,684.24 / $2,807.06 / $8,708.71	Professional		$1,684.24	$2,807.06	$8,708.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,135.63 / $3,024.57 / $5,269.25	Facility		$2,135.63	$3,024.57	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,569.00 / $2,547.00 / $3,175.42	Professional		$1,569.00	$2,547.00	$3,175.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,376.54 / $2,152.33 / $2,531.41	Professional		$1,376.54	$2,152.33	$2,531.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.88 / $2,346.76 / $3,147.12	Professional		$1,543.88	$2,346.76	$3,147.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,158.10 / $2,539.00 / $2,640.50	Professional		$2,158.10	$2,539.00	$2,640.50