Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.81 / $1,226.81 / $1,226.81	Facility		$1,226.81	$1,226.81	$1,226.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.73 / $1,226.81 / $1,226.81	Professional		$1,137.73	$1,226.81	$1,226.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,394.63 / $2,539.09 / $3,173.86	Professional		$2,394.63	$2,539.09	$3,173.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,500.57 / $2,073.31 / $3,159.98	Facility		$1,500.57	$2,073.31	$3,159.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,264.07 / $2,316.11 / $10,197.06	Professional		$1,264.07	$2,316.11	$10,197.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,043.00 / $2,781.19 / $3,684.34	Facility		$2,043.00	$2,781.19	$3,684.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,111.73 / $2,606.23 / $3,200.23	Professional		$2,111.73	$2,606.23	$3,200.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,504.13 / $2,031.86 / $2,316.55	Professional		$1,504.13	$2,031.86	$2,316.55
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 $1,264.07 / $2,374.06 / $3,209.14	Professional		$1,264.07	$2,374.06	$3,209.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,389.40 / $2,811.10 / $2,923.50	Professional		$2,389.40	$2,811.10	$2,923.50