Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.26 / $1,490.26 / $1,490.26	Facility		$1,490.26	$1,490.26	$1,490.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,381.74 / $1,490.26 / $1,490.26	Professional		$1,381.74	$1,490.26	$1,490.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,905.30 / $3,080.56 / $3,850.70	Professional		$2,905.30	$3,080.56	$3,850.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,826.31 / $2,518.54 / $3,828.37	Facility		$1,826.31	$2,518.54	$3,828.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,541.28 / $2,829.54 / $18,750.00	Professional		$1,541.28	$2,829.54	$18,750.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,562.00 / $3,467.76 / $4,494.62	Facility		$2,562.00	$3,467.76	$4,494.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,568.17 / $3,173.92 / $3,906.05	Professional		$2,568.17	$3,173.92	$3,906.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,813.78 / $2,468.17 / $2,821.13	Professional		$1,813.78	$2,468.17	$2,821.13
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 $1,541.28 / $2,721.00 / $3,912.78	Professional		$1,541.28	$2,721.00	$3,912.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,909.90 / $3,423.40 / $3,560.30	Professional		$2,909.90	$3,423.40	$3,560.30