Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,291.86 / $1,291.86 / $1,291.86	Facility		$1,291.86	$1,291.86	$1,291.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,171.94 / $1,291.86 / $1,415.09	Professional		$1,171.94	$1,291.86	$1,415.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,243.51 / $3,086.02 / $3,857.52	Professional		$2,243.51	$3,086.02	$3,857.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,372.14 / $2,183.26 / $4,015.86	Facility		$1,372.14	$2,183.26	$4,015.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,618.75 / $2,811.50 / $10,442.71	Professional		$1,618.75	$2,811.50	$10,442.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,291.75 / $3,247.61 / $4,483.14	Facility		$2,291.75	$3,247.61	$4,483.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,986.00 / $3,167.37 / $3,869.59	Professional		$1,986.00	$3,167.37	$3,869.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,753.61 / $2,469.32 / $2,815.31	Professional		$1,753.61	$2,469.32	$2,815.31
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 $1,765.74 / $2,943.18 / $3,895.70	Professional		$1,765.74	$2,943.18	$3,895.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,792.90 / $3,417.20 / $3,417.20	Professional		$2,792.90	$3,417.20	$3,417.20