Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.10 / $1,763.10 / $1,763.10	Facility		$1,763.10	$1,763.10	$1,763.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,596.95 / $1,763.10 / $1,935.89	Professional		$1,596.95	$1,763.10	$1,935.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,056.86 / $4,204.80 / $5,256.00	Professional		$3,056.86	$4,204.80	$5,256.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,922.33 / $2,979.64 / $5,137.09	Facility		$1,922.33	$2,979.64	$5,137.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,229.58 / $3,755.32 / $14,252.48	Professional		$2,229.58	$3,755.32	$14,252.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,936.43 / $4,402.39 / $6,168.37	Facility		$2,936.43	$4,402.39	$6,168.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,881.00 / $4,339.13 / $5,305.98	Professional		$2,881.00	$4,339.13	$5,305.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,238.14 / $3,308.88 / $3,856.82	Professional		$2,238.14	$3,308.88	$3,856.82
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 $2,229.58 / $3,755.32 / $5,322.97	Professional		$2,229.58	$3,755.32	$5,322.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,826.10 / $4,681.39 / $4,681.39	Professional		$3,826.10	$4,681.39	$4,681.39