Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.77 / $1,360.77 / $1,360.77	Facility		$1,360.77	$1,360.77	$1,360.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.57 / $1,360.77 / $1,360.77	Professional		$1,247.57	$1,360.77	$1,360.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,614.33 / $2,772.04 / $3,465.05	Professional		$2,614.33	$2,772.04	$3,465.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,250.06 / $2,108.39 / $3,475.77	Facility		$1,250.06	$2,108.39	$3,475.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,494.91 / $2,550.50 / $9,436.32	Professional		$1,494.91	$2,550.50	$9,436.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,490.73 / $3,133.60 / $4,148.41	Facility		$2,490.73	$3,133.60	$4,148.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,431.60 / $3,057.35 / $3,950.49	Professional		$2,431.60	$3,057.35	$3,950.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,717.76 / $2,165.19 / $2,502.64	Professional		$1,717.76	$2,165.19	$2,502.64
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 $1,494.91 / $2,678.03 / $3,626.42	Professional		$1,494.91	$2,678.03	$3,626.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,546.19 / $2,995.60 / $3,115.40	Professional		$2,546.19	$2,995.60	$3,115.40