Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.13 / $1,288.13 / $1,288.13	Facility		$1,288.13	$1,288.13	$1,288.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.83 / $1,288.13 / $3,194.13	Professional		$1,040.83	$1,288.13	$3,194.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,574.15 / $2,743.21 / $3,429.01	Professional		$2,574.15	$2,743.21	$3,429.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,261.13 / $1,954.40 / $3,024.61	Facility		$1,261.13	$1,954.40	$3,024.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,387.49 / $2,312.48 / $9,013.76	Professional		$1,387.49	$2,312.48	$9,013.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,885.00 / $3,098.80 / $6,470.87	Facility		$1,885.00	$3,098.80	$6,470.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,611.00 / $2,636.80 / $3,284.71	Professional		$1,611.00	$2,636.80	$3,284.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,421.53 / $1,992.29 / $2,343.71	Professional		$1,421.53	$1,992.29	$2,343.71
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 $1,387.49 / $2,312.48 / $3,259.23	Professional		$1,387.49	$2,312.48	$3,259.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,232.69 / $2,626.70 / $2,731.70	Professional		$2,232.69	$2,626.70	$2,731.70