Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,633.63 / $1,633.63 / $1,633.63	Facility		$1,633.63	$1,633.63	$1,633.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,508.58 / $1,633.63 / $1,633.63	Professional		$1,508.58	$1,633.63	$1,633.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,175.70 / $3,367.27 / $4,209.09	Professional		$3,175.70	$3,367.27	$4,209.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,549.50 / $4,249.27	Facility		$2,000.00	$2,549.50	$4,249.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,697.22 / $3,114.62 / $11,434.40	Professional		$1,697.22	$3,114.62	$11,434.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,802.00 / $3,614.19 / $4,936.78	Facility		$2,802.00	$3,614.19	$4,936.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,693.00 / $3,461.40 / $4,287.63	Professional		$2,693.00	$3,461.40	$4,287.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,022.23 / $2,698.55 / $3,076.66	Professional		$2,022.23	$2,698.55	$3,076.66
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 $1,697.22 / $3,085.86 / $4,298.89	Professional		$1,697.22	$3,085.86	$4,298.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,173.40 / $3,733.50 / $3,882.80	Professional		$3,173.40	$3,733.50	$3,882.80