Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.26 / $1,411.26 / $1,411.26	Facility		$1,411.26	$1,411.26	$1,411.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.67 / $1,411.26 / $1,411.26	Professional		$1,308.67	$1,411.26	$1,411.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,749.53 / $2,915.39 / $3,644.24	Professional		$2,749.53	$2,915.39	$3,644.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,730.01 / $2,211.65 / $3,628.46	Facility		$1,730.01	$2,211.65	$3,628.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,460.40 / $2,683.31 / $19,381.65	Professional		$1,460.40	$2,683.31	$19,381.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,447.00 / $3,285.61 / $4,258.93	Facility		$2,447.00	$3,285.61	$4,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,432.82 / $3,004.34 / $3,702.02	Professional		$2,432.82	$3,004.34	$3,702.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,725.98 / $2,339.37 / $2,670.40	Professional		$1,725.98	$2,339.37	$2,670.40
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 $1,460.40 / $2,414.32 / $3,708.07	Professional		$1,460.40	$2,414.32	$3,708.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,754.40 / $3,240.50 / $3,370.10	Professional		$2,754.40	$3,240.50	$3,370.10