Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,740.17 / $1,740.17 / $1,740.17	Facility		$1,740.17	$1,740.17	$1,740.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,568.34 / $1,740.17 / $1,912.19	Professional		$1,568.34	$1,740.17	$1,912.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,012.12 / $4,143.25 / $5,179.07	Professional		$3,012.12	$4,143.25	$5,179.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,824.42 / $2,940.89 / $5,164.27	Facility		$1,824.42	$2,940.89	$5,164.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,212.76 / $3,722.20 / $13,854.16	Professional		$2,212.76	$3,722.20	$13,854.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,963.22 / $4,429.91 / $5,757.49	Facility		$2,963.22	$4,429.91	$5,757.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,854.00 / $4,066.92 / $4,992.52	Professional		$2,854.00	$4,066.92	$4,992.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,292.73 / $3,170.63 / $3,614.88	Professional		$2,292.73	$3,170.63	$3,614.88
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 $2,097.09 / $3,401.12 / $5,290.63	Professional		$2,097.09	$3,401.12	$5,290.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,586.10 / $4,387.70 / $4,387.70	Professional		$3,586.10	$4,387.70	$4,387.70