Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.93 / $1,395.93 / $1,395.93	Facility		$1,395.93	$1,395.93	$1,395.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.38 / $1,395.93 / $4,162.10	Professional		$1,147.38	$1,395.93	$4,162.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,013.17 / $3,043.69 / $3,766.95	Professional		$3,013.17	$3,043.69	$3,766.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,640.75 / $2,128.33 / $4,122.51	Facility		$1,640.75	$2,128.33	$4,122.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,759.39 / $2,932.32 / $10,259.12	Professional		$1,759.39	$2,932.32	$10,259.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,289.27 / $3,402.08 / $4,419.54	Facility		$2,289.27	$3,402.08	$4,419.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,518.27 / $3,112.07 / $3,808.35	Professional		$2,518.27	$3,112.07	$3,808.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,805.12 / $2,426.19 / $2,766.14	Professional		$1,805.12	$2,426.19	$2,766.14
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 $1,759.39 / $2,932.32 / $3,839.64	Professional		$1,759.39	$2,932.32	$3,839.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,635.10 / $3,100.10 / $3,224.10	Professional		$2,635.10	$3,100.10	$3,224.10