Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.34 / $1,313.34 / $1,313.34	Facility		$1,313.34	$1,313.34	$1,313.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,220.97 / $1,313.34 / $1,313.34	Professional		$1,220.97	$1,313.34	$1,313.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,551.87 / $2,705.81 / $3,382.27	Professional		$2,551.87	$2,705.81	$3,382.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,593.65 / $2,063.44 / $4,061.40	Facility		$1,593.65	$2,063.44	$4,061.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,589.30 / $2,889.64 / $11,420.00	Professional		$1,589.30	$2,889.64	$11,420.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,406.00 / $2,891.54 / $4,053.49	Facility		$2,406.00	$2,891.54	$4,053.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,833.00 / $2,844.23 / $3,509.88	Professional		$1,833.00	$2,844.23	$3,509.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,597.76 / $2,217.40 / $2,617.86	Professional		$1,597.76	$2,217.40	$2,617.86
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 $1,589.30 / $2,593.10 / $3,493.70	Professional		$1,589.30	$2,593.10	$3,493.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,607.60 / $3,067.80 / $3,190.50	Professional		$2,607.60	$3,067.80	$3,190.50