Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,433.11 / $1,433.11 / $1,433.11	Facility		$1,433.11	$1,433.11	$1,433.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.02 / $1,433.11 / $1,560.83	Professional		$1,298.02	$1,433.11	$1,560.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,489.33 / $3,424.14 / $4,280.18	Professional		$2,489.33	$3,424.14	$4,280.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,556.58 / $2,421.96 / $4,144.59	Facility		$1,556.58	$2,421.96	$4,144.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,760.51 / $3,031.38 / $12,046.47	Professional		$1,760.51	$3,031.38	$12,046.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,364.76 / $3,558.20 / $4,982.64	Facility		$2,364.76	$3,558.20	$4,982.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $3,513.08 / $4,291.14	Professional		$2,280.00	$3,513.08	$4,291.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,977.52 / $2,674.14 / $3,122.59	Professional		$1,977.52	$2,674.14	$3,122.59
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 $1,687.21 / $2,760.79 / $4,294.56	Professional		$1,687.21	$2,760.79	$4,294.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,097.70 / $3,790.20 / $3,790.20	Professional		$3,097.70	$3,790.20	$3,790.20