Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.66 / $1,568.66 / $1,568.66	Facility		$1,568.66	$1,568.66	$1,568.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,454.03 / $1,568.66 / $1,568.66	Professional		$1,454.03	$1,568.66	$1,568.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,053.72 / $3,237.94 / $4,047.42	Professional		$3,053.72	$3,237.94	$4,047.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,924.58 / $2,651.04 / $4,077.77	Facility		$1,924.58	$2,651.04	$4,077.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,625.44 / $2,989.10 / $20,029.00	Professional		$1,625.44	$2,989.10	$20,029.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,750.00 / $3,653.85 / $4,742.80	Facility		$2,750.00	$3,653.85	$4,742.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,704.80 / $3,343.50 / $4,124.60	Professional		$2,704.80	$3,343.50	$4,124.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,931.84 / $2,606.64 / $2,971.86	Professional		$1,931.84	$2,606.64	$2,971.86
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 $1,773.20 / $3,198.80 / $4,127.45	Professional		$1,773.20	$3,198.80	$4,127.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,065.30 / $3,606.30 / $3,750.50	Professional		$3,065.30	$3,606.30	$3,750.50