Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.50 / $1,354.50 / $1,354.50	Facility		$1,354.50	$1,354.50	$1,354.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.96 / $1,354.50 / $1,500.97	Professional		$1,226.96	$1,354.50	$1,500.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,339.23 / $3,217.68 / $4,022.10	Professional		$2,339.23	$3,217.68	$4,022.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,507.11 / $2,289.11 / $4,267.63	Facility		$1,507.11	$2,289.11	$4,267.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,861.39 / $2,835.50 / $10,984.16	Professional		$1,861.39	$2,835.50	$10,984.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,423.29 / $3,449.34 / $4,743.85	Facility		$2,423.29	$3,449.34	$4,743.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,423.29 / $3,330.41 / $4,083.37	Professional		$2,423.29	$3,330.41	$4,083.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,928.38 / $2,596.42 / $2,960.21	Professional		$1,928.38	$2,596.42	$2,960.21
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 $1,861.39 / $2,653.63 / $4,127.87	Professional		$1,861.39	$2,653.63	$4,127.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,936.60 / $3,593.10 / $3,593.10	Professional		$2,936.60	$3,593.10	$3,593.10