Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.27 / $1,482.27 / $1,482.27	Facility		$1,482.27	$1,482.27	$1,482.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,374.22 / $1,482.27 / $2,172.75	Professional		$1,374.22	$1,482.27	$2,172.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,888.40 / $3,062.64 / $3,828.30	Professional		$2,888.40	$3,062.64	$3,828.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,816.40 / $2,505.04 / $3,839.14	Facility		$1,816.40	$2,505.04	$3,839.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,532.76 / $2,812.17 / $22,018.91	Professional		$1,532.76	$2,812.17	$22,018.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,599.00 / $3,448.66 / $4,468.55	Facility		$2,599.00	$3,448.66	$4,468.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,554.09 / $3,153.53 / $3,882.35	Professional		$2,554.09	$3,153.53	$3,882.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,820.27 / $2,458.54 / $2,803.02	Professional		$1,820.27	$2,458.54	$2,803.02
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 $1,672.10 / $2,870.23 / $3,889.68	Professional		$1,672.10	$2,870.23	$3,889.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,891.20 / $3,401.40 / $3,537.50	Professional		$2,891.20	$3,401.40	$3,537.50