Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.04 / $1,430.04 / $1,430.04	Facility		$1,430.04	$1,430.04	$1,430.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.28 / $1,430.04 / $1,547.98	Professional		$1,291.28	$1,430.04	$1,547.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,484.23 / $3,417.13 / $4,271.42	Professional		$2,484.23	$3,417.13	$4,271.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,500.16 / $2,416.77 / $4,151.89	Facility		$1,500.16	$2,416.77	$4,151.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,827.78 / $2,983.75 / $11,410.40	Professional		$1,827.78	$2,983.75	$11,410.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,426.92 / $3,607.82 / $4,726.12	Facility		$2,426.92	$3,607.82	$4,726.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,348.00 / $3,355.13 / $4,096.37	Professional		$2,348.00	$3,355.13	$4,096.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,803.94 / $2,601.62 / $2,982.21	Professional		$1,803.94	$2,601.62	$2,982.21
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 $1,827.78 / $3,882.45 / $4,293.07	Professional		$1,827.78	$3,882.45	$4,293.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,958.50 / $3,619.80 / $3,619.80	Professional		$2,958.50	$3,619.80	$3,619.80