Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.92 / $1,384.92 / $1,384.92	Facility		$1,384.92	$1,384.92	$1,384.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,255.53 / $1,384.92 / $1,541.92	Professional		$1,255.53	$1,384.92	$1,541.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,390.77 / $3,288.58 / $4,110.72	Professional		$2,390.77	$3,288.58	$4,110.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,547.25 / $2,511.06 / $4,204.42	Facility		$1,547.25	$2,511.06	$4,204.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,850.35 / $3,082.58 / $12,327.05	Professional		$1,850.35	$3,082.58	$12,327.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,418.56 / $3,621.70 / $4,868.97	Facility		$2,418.56	$3,621.70	$4,868.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,608.00 / $3,417.01 / $4,192.66	Professional		$2,608.00	$3,417.01	$4,192.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,989.06 / $2,663.94 / $3,037.20	Professional		$1,989.06	$2,663.94	$3,037.20
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 $1,696.16 / $3,083.92 / $4,238.28	Professional		$1,696.16	$3,083.92	$4,238.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,013.00 / $3,686.50 / $3,686.50	Professional		$3,013.00	$3,686.50	$3,686.50