Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.88 / $1,558.88 / $1,558.88	Facility		$1,558.88	$1,558.88	$1,558.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.49 / $1,558.88 / $1,558.88	Professional		$1,452.49	$1,558.88	$1,558.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,052.99 / $3,237.16 / $4,046.45	Professional		$3,052.99	$3,237.16	$4,046.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,917.92 / $2,454.71 / $4,069.93	Facility		$1,917.92	$2,454.71	$4,069.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,629.32 / $2,988.43 / $11,016.64	Professional		$1,629.32	$2,988.43	$11,016.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $3,654.44 / $4,718.82	Facility		$2,774.00	$3,654.44	$4,718.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,636.00 / $3,323.84 / $4,117.33	Professional		$2,636.00	$3,323.84	$4,117.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,930.32 / $2,591.32 / $2,954.39	Professional		$1,930.32	$2,591.32	$2,954.39
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 $1,629.32 / $2,962.40 / $4,136.02	Professional		$1,629.32	$2,962.40	$4,136.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,047.30 / $3,585.10 / $3,728.50	Professional		$3,047.30	$3,585.10	$3,728.50