Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.08 / $1,573.08 / $1,573.08	Facility		$1,573.08	$1,573.08	$1,573.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.39 / $1,573.08 / $1,573.08	Professional		$1,461.39	$1,573.08	$1,573.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,050.79 / $3,234.82 / $4,043.53	Professional		$3,050.79	$3,234.82	$4,043.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,950.98 / $2,658.51 / $4,262.75	Facility		$1,950.98	$2,658.51	$4,262.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,708.98 / $3,096.56 / $11,205.20	Professional		$1,708.98	$3,096.56	$11,205.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,022.00 / $3,717.08 / $4,871.10	Facility		$3,022.00	$3,717.08	$4,871.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,766.00 / $3,406.82 / $4,217.50	Professional		$2,766.00	$3,406.82	$4,217.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,991.52 / $2,656.00 / $3,028.14	Professional		$1,991.52	$2,656.00	$3,028.14
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 $1,708.98 / $3,096.56 / $4,194.39	Professional		$1,708.98	$3,096.56	$4,194.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,123.40 / $3,674.60 / $3,821.60	Professional		$3,123.40	$3,674.60	$3,821.60