Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.75 / $1,015.75 / $1,015.75	Facility		$1,015.75	$1,015.75	$1,015.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.78 / $1,015.75 / $1,015.75	Professional		$943.78	$1,015.75	$1,015.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,972.14 / $2,091.10 / $2,613.88	Professional		$1,972.14	$2,091.10	$2,613.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,257.66 / $1,716.62 / $2,738.04	Facility		$1,257.66	$1,716.62	$2,738.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,112.53 / $1,991.58 / $10,151.00	Professional		$1,112.53	$1,991.58	$10,151.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,965.00 / $2,395.85 / $3,135.80	Facility		$1,965.00	$2,395.85	$3,135.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,798.00 / $2,195.75 / $2,713.90	Professional		$1,798.00	$2,195.75	$2,713.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,266.71 / $1,711.85 / $1,951.70	Professional		$1,266.71	$1,711.85	$1,951.70
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 $1,194.95 / $1,991.58 / $2,700.46	Professional		$1,194.95	$1,991.58	$2,700.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,013.10 / $2,368.30 / $2,463.10	Professional		$2,013.10	$2,368.30	$2,463.10