Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.82 / $1,600.82 / $1,600.82	Facility		$1,600.82	$1,600.82	$1,600.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,487.51 / $1,600.82 / $1,600.82	Professional		$1,487.51	$1,600.82	$1,600.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,105.16 / $3,292.48 / $4,115.60	Professional		$3,105.16	$3,292.48	$4,115.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,985.60 / $2,705.39 / $4,671.49	Facility		$1,985.60	$2,705.39	$4,671.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,860.11 / $3,382.02 / $11,406.40	Professional		$1,860.11	$3,382.02	$11,406.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,102.00 / $3,783.85 / $4,959.71	Facility		$3,102.00	$3,783.85	$4,959.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,838.00 / $3,469.41 / $4,294.91	Professional		$2,838.00	$3,469.41	$4,294.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,025.25 / $2,704.80 / $3,083.77	Professional		$2,025.25	$2,704.80	$3,083.77
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 $2,029.21 / $3,323.23 / $4,271.09	Professional		$2,029.21	$3,323.23	$4,271.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,180.80 / $3,742.10 / $3,891.80	Professional		$3,180.80	$3,742.10	$3,891.80