Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.75 / $1,087.75 / $1,087.75	Facility		$1,087.75	$1,087.75	$1,087.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.96 / $1,167.44 / $1,583.13	Professional		$1,010.96	$1,167.44	$1,583.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,111.73 / $2,239.13 / $2,798.92	Professional		$2,111.73	$2,239.13	$2,798.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.42 / $1,788.19 / $2,946.58	Facility		$1,348.42	$1,788.19	$2,946.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,160.13 / $2,137.84 / $9,728.00	Professional		$1,160.13	$2,137.84	$9,728.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,023.00 / $2,442.41 / $3,363.13	Facility		$2,023.00	$2,442.41	$3,363.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,571.00 / $2,356.61 / $2,913.36	Professional		$1,571.00	$2,356.61	$2,913.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,368.77 / $1,837.24 / $2,094.66	Professional		$1,368.77	$1,837.24	$2,094.66
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 $1,160.13 / $2,109.32 / $2,900.35	Professional		$1,160.13	$2,109.32	$2,900.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,160.60 / $2,541.80 / $2,643.50	Professional		$2,160.60	$2,541.80	$2,643.50