Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.60 / $1,616.60 / $1,616.60	Facility		$1,616.60	$1,616.60	$1,616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.10 / $1,616.60 / $1,765.31	Professional		$1,464.10	$1,616.60	$1,765.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,805.38 / $3,858.88 / $4,823.60	Professional		$2,805.38	$3,858.88	$4,823.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,758.04 / $2,732.05 / $4,697.89	Facility		$1,758.04	$2,732.05	$4,697.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,005.88 / $3,401.28 / $13,253.41	Professional		$2,005.88	$3,401.28	$13,253.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,657.11 / $4,027.25 / $5,633.39	Facility		$2,657.11	$4,027.25	$5,633.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,593.00 / $3,967.94 / $4,848.41	Professional		$2,593.00	$3,967.94	$4,848.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,089.42 / $3,030.96 / $3,526.90	Professional		$2,089.42	$3,030.96	$3,526.90
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 $1,870.70 / $3,321.30 / $4,855.97	Professional		$1,870.70	$3,321.30	$4,855.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,498.80 / $4,280.89 / $4,280.89	Professional		$3,498.80	$4,280.89	$4,280.89