Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.85 / $1,339.85 / $1,339.85	Facility		$1,339.85	$1,339.85	$1,339.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.66 / $1,339.85 / $3,951.76	Professional		$1,101.66	$1,339.85	$3,951.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,897.10 / $2,926.45 / $3,621.84	Professional		$2,897.10	$2,926.45	$3,621.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,575.37 / $2,000.00 / $3,598.17	Facility		$1,575.37	$2,000.00	$3,598.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,586.57 / $2,646.59 / $9,848.32	Professional		$1,586.57	$2,646.59	$9,848.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,064.94 / $3,257.11 / $4,219.31	Facility		$2,064.94	$3,257.11	$4,219.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,338.00 / $2,978.15 / $3,641.41	Professional		$2,338.00	$2,978.15	$3,641.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,711.72 / $2,320.80 / $2,647.11	Professional		$1,711.72	$2,320.80	$2,647.11
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 $1,586.57 / $2,849.97 / $3,664.00	Professional		$1,586.57	$2,849.97	$3,664.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,521.69 / $2,966.70 / $3,085.40	Professional		$2,521.69	$2,966.70	$3,085.40