Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.96 / $1,438.96 / $1,438.96	Facility		$1,438.96	$1,438.96	$1,438.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,332.63 / $1,438.96 / $2,100.91	Professional		$1,332.63	$1,438.96	$2,100.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,795.08 / $2,963.70 / $3,704.62	Professional		$2,795.08	$2,963.70	$3,704.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,766.84 / $2,431.84 / $3,718.24	Facility		$1,766.84	$2,431.84	$3,718.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,493.68 / $2,748.75 / $16,540.23	Professional		$1,493.68	$2,748.75	$16,540.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,567.00 / $3,352.02 / $4,360.10	Facility		$2,567.00	$3,352.02	$4,360.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,480.48 / $3,063.29 / $3,791.29	Professional		$2,480.48	$3,063.29	$3,791.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,772.44 / $2,388.19 / $2,722.80	Professional		$1,772.44	$2,388.19	$2,722.80
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 $1,629.47 / $2,617.57 / $3,793.69	Professional		$1,629.47	$2,617.57	$3,793.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,808.50 / $3,304.10 / $3,436.20	Professional		$2,808.50	$3,304.10	$3,436.20