Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.05 / $1,350.05 / $1,350.05	Facility		$1,350.05	$1,350.05	$1,350.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.64 / $1,350.05 / $1,350.05	Professional		$1,249.64	$1,350.05	$1,350.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,622.41 / $2,780.61 / $3,475.76	Professional		$2,622.41	$2,780.61	$3,475.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,656.87 / $2,281.58 / $3,676.97	Facility		$1,656.87	$2,281.58	$3,676.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,475.05 / $2,681.90 / $9,886.00	Professional		$1,475.05	$2,681.90	$9,886.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,436.00 / $3,141.70 / $4,083.74	Facility		$2,436.00	$3,141.70	$4,083.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,325.29 / $2,871.88 / $3,552.68	Professional		$2,325.29	$2,871.88	$3,552.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,672.79 / $2,238.96 / $2,552.67	Professional		$1,672.79	$2,238.96	$2,552.67
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 $1,475.05 / $2,619.71 / $3,557.34	Professional		$1,475.05	$2,619.71	$3,557.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,633.00 / $3,097.60 / $3,221.50	Professional		$2,633.00	$3,097.60	$3,221.50