Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.58 / $1,265.58 / $1,265.58	Facility		$1,265.58	$1,265.58	$1,265.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.59 / $1,265.58 / $1,382.74	Professional		$1,146.59	$1,265.58	$1,382.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,198.19 / $3,023.69 / $3,779.61	Professional		$2,198.19	$3,023.69	$3,779.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,376.28 / $2,138.83 / $3,684.12	Facility		$1,376.28	$2,138.83	$3,684.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,569.43 / $2,708.18 / $11,913.39	Professional		$1,569.43	$2,708.18	$11,913.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,112.64 / $3,164.51 / $4,405.96	Facility		$2,112.64	$3,164.51	$4,405.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,104.00 / $3,106.24 / $3,793.93	Professional		$2,104.00	$3,106.24	$3,793.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,586.86 / $2,377.08 / $2,760.97	Professional		$1,586.86	$2,377.08	$2,760.97
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 $1,489.50 / $2,445.46 / $3,804.05	Professional		$1,489.50	$2,445.46	$3,804.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,739.00 / $3,351.20 / $3,351.20	Professional		$2,739.00	$3,351.20	$3,351.20