Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.58 / $1,290.58 / $1,290.58	Facility		$1,290.58	$1,290.58	$1,290.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.27 / $1,290.58 / $1,427.19	Professional		$1,170.27	$1,290.58	$1,427.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,233.32 / $3,071.99 / $3,839.99	Professional		$2,233.32	$3,071.99	$3,839.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,407.04 / $1,977.76 / $3,906.06	Facility		$1,407.04	$1,977.76	$3,906.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,558.13 / $2,832.96 / $10,471.12	Professional		$1,558.13	$2,832.96	$10,471.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,217.83 / $3,286.49 / $4,512.34	Facility		$2,217.83	$3,286.49	$4,512.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,790.00 / $3,176.10 / $3,890.01	Professional		$1,790.00	$3,176.10	$3,890.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,709.25 / $2,476.13 / $2,823.07	Professional		$1,709.25	$2,476.13	$2,823.07
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 $1,558.13 / $2,523.73 / $3,925.80	Professional		$1,558.13	$2,523.73	$3,925.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,800.60 / $3,426.60 / $3,426.60	Professional		$2,800.60	$3,426.60	$3,426.60