Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.29 / $1,351.29 / $1,351.29	Facility		$1,351.29	$1,351.29	$1,351.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,250.54 / $1,351.29 / $1,351.29	Professional		$1,250.54	$1,351.29	$1,351.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,634.17 / $2,793.07 / $3,491.34	Professional		$2,634.17	$2,793.07	$3,491.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,300.64 / $2,113.41 / $3,425.63	Facility		$1,300.64	$2,113.41	$3,425.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,366.96 / $2,559.12 / $9,450.16	Professional		$1,366.96	$2,559.12	$9,450.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,135.00 / $2,936.03 / $4,083.74	Facility		$2,135.00	$2,936.03	$4,083.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,019.00 / $2,725.54 / $3,539.92	Professional		$2,019.00	$2,725.54	$3,539.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,440.61 / $2,209.98 / $2,556.55	Professional		$1,440.61	$2,209.98	$2,556.55
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 $1,366.96 / $2,485.38 / $3,528.42	Professional		$1,366.96	$2,485.38	$3,528.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,637.00 / $3,102.30 / $3,226.40	Professional		$2,637.00	$3,102.30	$3,226.40