Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.20 / $1,137.20 / $1,137.20	Facility		$1,137.20	$1,137.20	$1,137.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.61 / $1,137.20 / $1,137.20	Professional		$1,050.61	$1,137.20	$1,137.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,214.61 / $2,348.21 / $2,935.26	Professional		$2,214.61	$2,348.21	$2,935.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,394.38 / $1,921.87 / $2,940.82	Facility		$1,394.38	$1,921.87	$2,940.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,165.89 / $2,155.19 / $12,102.00	Professional		$1,165.89	$2,155.19	$12,102.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $2,500.92 / $3,423.62	Facility		$1,890.00	$2,500.92	$3,423.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,920.00 / $2,404.64 / $2,971.64	Professional		$1,920.00	$2,404.64	$2,971.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,396.87 / $1,874.69 / $2,137.36	Professional		$1,396.87	$1,874.69	$2,137.36
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 $1,271.88 / $2,200.64 / $2,981.55	Professional		$1,271.88	$2,200.64	$2,981.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,204.60 / $2,593.60 / $2,697.40	Professional		$2,204.60	$2,593.60	$2,697.40