Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,213.20 / $1,213.20 / $1,213.20	Facility		$1,213.20	$1,213.20	$1,213.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.64 / $1,213.20 / $1,213.20	Professional		$1,127.64	$1,213.20	$1,213.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,353.48 / $2,495.46 / $3,119.32	Professional		$2,353.48	$2,495.46	$3,119.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,504.19 / $2,000.00 / $3,289.22	Facility		$1,504.19	$2,000.00	$3,289.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,291.18 / $2,383.54 / $10,997.00	Professional		$1,291.18	$2,383.54	$10,997.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $2,867.08 / $3,755.25	Facility		$2,291.00	$2,867.08	$3,755.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,493.00 / $2,626.63 / $3,252.14	Professional		$1,493.00	$2,626.63	$3,252.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,527.91 / $2,047.75 / $2,334.66	Professional		$1,527.91	$2,047.75	$2,334.66
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 $1,291.18 / $2,339.01 / $3,234.56	Professional		$1,291.18	$2,339.01	$3,234.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,408.10 / $2,833.10 / $2,946.40	Professional		$2,408.10	$2,833.10	$2,946.40