Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.89 / $1,272.89 / $1,272.89	Facility		$1,272.89	$1,272.89	$1,272.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.54 / $1,272.89 / $1,400.44	Professional		$1,154.54	$1,272.89	$1,400.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,206.69 / $3,035.37 / $3,794.22	Professional		$2,206.69	$3,035.37	$3,794.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,413.48 / $2,151.17 / $3,797.29	Facility		$1,413.48	$2,151.17	$3,797.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,666.04 / $2,785.48 / $10,307.12	Professional		$1,666.04	$2,785.48	$10,307.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,177.05 / $3,218.50 / $4,432.04	Facility		$2,177.05	$3,218.50	$4,432.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,175.00 / $3,125.88 / $3,822.75	Professional		$2,175.00	$3,125.88	$3,822.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,681.35 / $2,436.98 / $2,778.44	Professional		$1,681.35	$2,436.98	$2,778.44
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 $1,666.04 / $2,785.48 / $3,853.84	Professional		$1,666.04	$2,785.48	$3,853.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,756.30 / $3,372.40 / $3,372.40	Professional		$2,756.30	$3,372.40	$3,372.40