Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.47 / $1,334.47 / $1,334.47	Facility		$1,334.47	$1,334.47	$1,334.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.50 / $1,334.47 / $1,334.47	Professional		$1,231.50	$1,334.47	$1,334.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,586.41 / $2,742.43 / $3,428.04	Professional		$2,586.41	$2,742.43	$3,428.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,646.32 / $2,081.23 / $3,523.31	Facility		$1,646.32	$2,081.23	$3,523.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,393.90 / $2,574.48 / $18,481.68	Professional		$1,393.90	$2,574.48	$18,481.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,391.00 / $3,110.14 / $4,062.89	Facility		$2,391.00	$3,110.14	$4,062.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,277.00 / $2,838.40 / $3,535.38	Professional		$2,277.00	$2,838.40	$3,535.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,679.33 / $2,212.86 / $2,522.91	Professional		$1,679.33	$2,212.86	$2,522.91
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 $1,393.90 / $2,534.36 / $3,539.51	Professional		$1,393.90	$2,534.36	$3,539.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,602.30 / $3,061.50 / $3,184.00	Professional		$2,602.30	$3,061.50	$3,184.00