Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.26 / $1,583.26 / $1,583.26	Facility		$1,583.26	$1,583.26	$1,583.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.09 / $1,583.26 / $1,583.26	Professional		$1,462.09	$1,583.26	$1,583.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,077.24 / $3,262.87 / $4,078.59	Professional		$3,077.24	$3,262.87	$4,078.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,944.99 / $2,675.71 / $4,115.00	Facility		$1,944.99	$2,675.71	$4,115.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,640.39 / $3,017.81 / $18,154.00	Professional		$1,640.39	$3,017.81	$18,154.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,751.00 / $3,574.57 / $4,782.43	Facility		$2,751.00	$3,574.57	$4,782.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,704.00 / $3,352.95 / $4,153.74	Professional		$2,704.00	$3,352.95	$4,153.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.14 / $2,614.01 / $2,980.27	Professional		$1,949.14	$2,614.01	$2,980.27
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 $1,789.51 / $3,895.98 / $4,165.17	Professional		$1,789.51	$3,895.98	$4,165.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,074.00 / $3,616.50 / $3,761.20	Professional		$3,074.00	$3,616.50	$3,761.20