Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.36 / $1,359.36 / $1,359.36	Facility		$1,359.36	$1,359.36	$1,359.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.57 / $1,359.36 / $1,359.36	Professional		$1,260.57	$1,359.36	$1,359.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,652.54 / $2,812.55 / $3,515.69	Professional		$2,652.54	$2,812.55	$3,515.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,664.48 / $2,297.32 / $3,483.93	Facility		$1,664.48	$2,297.32	$3,483.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,403.85 / $2,574.48 / $18,272.75	Professional		$1,403.85	$2,574.48	$18,272.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,365.00 / $3,160.68 / $4,092.09	Facility		$2,365.00	$3,160.68	$4,092.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,341.50 / $2,892.98 / $3,554.51	Professional		$2,341.50	$2,892.98	$3,554.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,639.92 / $2,246.53 / $2,571.42	Professional		$1,639.92	$2,246.53	$2,571.42
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 $1,403.85 / $2,504.90 / $3,563.14	Professional		$1,403.85	$2,504.90	$3,563.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,652.30 / $3,120.40 / $3,245.20	Professional		$2,652.30	$3,120.40	$3,245.20