Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.39 / $1,417.39 / $1,417.39	Facility		$1,417.39	$1,417.39	$1,417.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.20 / $1,417.39 / $1,417.39	Professional		$1,317.20	$1,417.39	$1,417.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,750.26 / $2,916.17 / $3,645.21	Professional		$2,750.26	$2,916.17	$3,645.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,757.48 / $2,226.07 / $4,364.88	Facility		$1,757.48	$2,226.07	$4,364.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,722.82 / $3,132.40 / $10,096.79	Professional		$1,722.82	$3,132.40	$10,096.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,760.00 / $3,349.38 / $4,387.20	Facility		$2,760.00	$3,349.38	$4,387.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,526.00 / $3,069.11 / $3,798.57	Professional		$2,526.00	$3,069.11	$3,798.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,777.02 / $2,392.73 / $2,815.71	Professional		$1,777.02	$2,392.73	$2,815.71
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 $1,820.96 / $2,958.82 / $3,777.37	Professional		$1,820.96	$2,958.82	$3,777.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,813.80 / $3,310.30 / $3,442.80	Professional		$2,813.80	$3,310.30	$3,442.80