Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.42 / $1,482.42 / $1,482.42	Facility		$1,482.42	$1,482.42	$1,482.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.00 / $1,482.42 / $1,482.42	Professional		$1,369.00	$1,482.42	$1,482.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,881.79 / $3,055.63 / $3,819.54	Professional		$2,881.79	$3,055.63	$3,819.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.53 / $2,313.61 / $3,863.31	Facility		$1,819.53	$2,313.61	$3,863.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,539.24 / $2,814.18 / $10,365.28	Professional		$1,539.24	$2,814.18	$10,365.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,557.00 / $3,411.10 / $4,471.66	Facility		$2,557.00	$3,411.10	$4,471.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,548.63 / $3,135.35 / $3,880.52	Professional		$2,548.63	$3,135.35	$3,880.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,673.87 / $2,444.36 / $2,786.85	Professional		$1,673.87	$2,444.36	$2,786.85
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 $1,679.17 / $2,864.32 / $3,888.89	Professional		$1,679.17	$2,864.32	$3,888.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,874.50 / $3,381.80 / $3,517.10	Professional		$2,874.50	$3,381.80	$3,517.10