Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.85 / $1,547.85 / $1,547.85	Facility		$1,547.85	$1,547.85	$1,547.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.11 / $1,547.85 / $1,547.85	Professional		$1,435.11	$1,547.85	$1,547.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,016.25 / $3,198.21 / $3,997.76	Professional		$3,016.25	$3,198.21	$3,997.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,897.47 / $2,561.66 / $4,014.39	Facility		$1,897.47	$2,561.66	$4,014.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,601.63 / $2,941.70 / $18,665.00	Professional		$1,601.63	$2,941.70	$18,665.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,711.00 / $3,603.05 / $4,669.82	Facility		$2,711.00	$3,603.05	$4,669.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,667.97 / $3,296.18 / $4,060.85	Professional		$2,667.97	$3,296.18	$4,060.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,911.08 / $2,569.75 / $2,929.81	Professional		$1,911.08	$2,569.75	$2,929.81
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 $1,747.24 / $3,003.86 / $4,065.94	Professional		$1,747.24	$3,003.86	$4,065.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,022.00 / $3,555.30 / $3,697.50	Professional		$3,022.00	$3,555.30	$3,697.50