Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.60 / $1,105.60 / $1,105.60	Facility		$1,105.60	$1,105.60	$1,105.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.67 / $1,105.60 / $1,105.60	Professional		$1,027.67	$1,105.60	$1,105.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,145.54 / $2,274.96 / $2,843.72	Professional		$2,145.54	$2,274.96	$2,843.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,370.67 / $1,868.48 / $2,996.13	Facility		$1,370.67	$1,868.48	$2,996.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,283.96 / $2,334.48 / $10,151.00	Professional		$1,283.96	$2,334.48	$10,151.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,161.00 / $2,612.60 / $3,421.53	Facility		$2,161.00	$2,612.60	$3,421.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,978.00 / $2,394.44 / $2,965.27	Professional		$1,978.00	$2,394.44	$2,965.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,370.93 / $1,866.75 / $2,128.30	Professional		$1,370.93	$1,866.75	$2,128.30
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 $1,420.25 / $2,294.25 / $2,948.82	Professional		$1,420.25	$2,294.25	$2,948.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,195.30 / $2,582.69 / $2,686.00	Professional		$2,195.30	$2,582.69	$2,686.00