Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.07 / $1,404.07 / $1,404.07	Facility		$1,404.07	$1,404.07	$1,404.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,301.91 / $1,404.07 / $1,404.07	Professional		$1,301.91	$1,404.07	$1,404.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,718.67 / $2,882.67 / $3,603.34	Professional		$2,718.67	$2,882.67	$3,603.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,723.66 / $2,372.88 / $3,640.13	Facility		$1,723.66	$2,372.88	$3,640.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,456.96 / $2,667.96 / $11,425.64	Professional		$1,456.96	$2,667.96	$11,425.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,426.00 / $3,143.30 / $4,238.09	Facility		$2,426.00	$3,143.30	$4,238.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,423.30 / $2,972.32 / $3,685.63	Professional		$2,423.30	$2,972.32	$3,685.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,730.74 / $2,317.26 / $2,641.94	Professional		$1,730.74	$2,317.26	$2,641.94
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 $1,225.82 / $2,369.23 / $3,685.47	Professional		$1,225.82	$2,369.23	$3,685.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,725.00 / $3,205.90 / $3,334.20	Professional		$2,725.00	$3,205.90	$3,334.20