Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.23 / $1,464.23 / $1,464.23	Facility		$1,464.23	$1,464.23	$1,464.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,352.17 / $1,464.23 / $1,464.23	Professional		$1,352.17	$1,464.23	$1,464.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,845.05 / $3,016.68 / $3,770.84	Professional		$2,845.05	$3,016.68	$3,770.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,798.11 / $2,474.55 / $3,823.66	Facility		$1,798.11	$2,474.55	$3,823.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.58 / $2,784.14 / $10,243.28	Professional		$1,513.58	$2,784.14	$10,243.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,457.00 / $3,198.25 / $4,422.66	Facility		$2,457.00	$3,198.25	$4,422.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,219.00 / $3,098.23 / $3,839.54	Professional		$2,219.00	$3,098.23	$3,839.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,758.85 / $2,415.42 / $2,753.85	Professional		$1,758.85	$2,415.42	$2,753.85
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 $1,513.58 / $2,751.96 / $3,845.32	Professional		$1,513.58	$2,751.96	$3,845.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,840.50 / $3,341.70 / $3,475.40	Professional		$2,840.50	$3,341.70	$3,475.40