Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.31 / $1,236.31 / $1,236.31	Facility		$1,236.31	$1,236.31	$1,236.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.99 / $1,236.31 / $1,359.93	Professional		$1,121.99	$1,236.31	$1,359.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,144.39 / $2,949.67 / $3,687.09	Professional		$2,144.39	$2,949.67	$3,687.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,372.93 / $2,089.36 / $3,863.16	Facility		$1,372.93	$2,089.36	$3,863.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,605.23 / $2,675.38 / $11,130.10	Professional		$1,605.23	$2,675.38	$11,130.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,091.71 / $3,129.76 / $4,304.81	Facility		$2,091.71	$3,129.76	$4,304.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,091.71 / $3,036.38 / $3,711.07	Professional		$2,091.71	$3,036.38	$3,711.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,633.80 / $2,367.19 / $2,698.87	Professional		$1,633.80	$2,367.19	$2,698.87
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 $1,504.46 / $2,605.27 / $3,742.42	Professional		$1,504.46	$2,605.27	$3,742.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,677.40 / $3,275.90 / $3,275.90	Professional		$2,677.40	$3,275.90	$3,275.90