Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.75 / $1,068.75 / $1,068.75	Facility		$1,068.75	$1,068.75	$1,068.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $993.18 / $1,068.75 / $1,068.75	Professional		$993.18	$1,068.75	$1,068.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,075.00 / $2,200.17 / $2,750.22	Professional		$2,075.00	$2,200.17	$2,750.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.32 / $1,678.47 / $2,880.22	Facility		$1,047.32	$1,678.47	$2,880.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.28 / $2,090.44 / $7,600.96	Professional		$1,148.28	$2,090.44	$7,600.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,774.00 / $2,393.76 / $3,299.53	Facility		$1,774.00	$2,393.76	$3,299.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.00 / $2,309.29 / $2,855.99	Professional		$1,122.00	$2,309.29	$2,855.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,200.96 / $1,800.36 / $2,052.61	Professional		$1,200.96	$1,800.36	$2,052.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,252.67 / $2,087.78 / $2,840.74	Professional		$1,252.67	$2,087.78	$2,840.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,117.19 / $2,490.80 / $2,590.40	Professional		$2,117.19	$2,490.80	$2,590.40