Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.88 / $1,561.88 / $1,561.88	Facility		$1,561.88	$1,561.88	$1,561.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,414.60 / $1,561.88 / $1,703.93	Professional		$1,414.60	$1,561.88	$1,703.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,710.22 / $3,727.99 / $4,659.99	Professional		$2,710.22	$3,727.99	$4,659.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,696.81 / $2,639.58 / $4,406.78	Facility		$1,696.81	$2,639.58	$4,406.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,936.10 / $3,253.74 / $12,593.28	Professional		$1,936.10	$3,253.74	$12,593.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,544.44 / $3,877.54 / $5,439.43	Facility		$2,544.44	$3,877.54	$5,439.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,512.00 / $3,829.66 / $4,681.47	Professional		$2,512.00	$3,829.66	$4,681.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,043.17 / $2,762.91 / $3,403.99	Professional		$2,043.17	$2,762.91	$3,403.99
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 $1,855.52 / $3,013.25 / $4,687.28	Professional		$1,855.52	$3,013.25	$4,687.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,376.90 / $4,131.70 / $4,131.70	Professional		$3,376.90	$4,131.70	$4,131.70