Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.53 / $1,421.53 / $1,421.53	Facility		$1,421.53	$1,421.53	$1,421.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.59 / $1,421.53 / $1,421.53	Professional		$1,317.59	$1,421.53	$1,421.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,768.63 / $2,935.65 / $3,669.56	Professional		$2,768.63	$2,935.65	$3,669.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,742.66 / $2,402.39 / $3,654.30	Facility		$1,742.66	$2,402.39	$3,654.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,470.67 / $2,702.02 / $16,901.89	Professional		$1,470.67	$2,702.02	$16,901.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,389.00 / $3,270.28 / $4,291.27	Facility		$2,389.00	$3,270.28	$4,291.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,449.55 / $3,026.18 / $3,729.35	Professional		$2,449.55	$3,026.18	$3,729.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,668.47 / $2,355.61 / $2,689.81	Professional		$1,668.47	$2,355.61	$2,689.81
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 $1,604.36 / $2,896.11 / $3,733.80	Professional		$1,604.36	$2,896.11	$3,733.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,774.40 / $3,264.00 / $3,394.60	Professional		$2,774.40	$3,264.00	$3,394.60