Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.16 / $1,206.16 / $1,206.16	Facility		$1,206.16	$1,206.16	$1,206.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,089.56 / $1,206.16 / $1,296.60	Professional		$1,089.56	$1,206.16	$1,296.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,099.08 / $2,887.34 / $3,609.18	Professional		$2,099.08	$2,887.34	$3,609.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.04 / $2,083.79 / $3,585.87	Facility		$1,258.04	$2,083.79	$3,585.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.29 / $2,496.37 / $11,470.21	Professional		$1,479.29	$2,496.37	$11,470.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,040.23 / $3,013.20 / $3,969.02	Facility		$2,040.23	$3,013.20	$3,969.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,910.00 / $2,825.30 / $3,434.29	Professional		$1,910.00	$2,825.30	$3,434.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,578.98 / $2,202.65 / $2,511.27	Professional		$1,578.98	$2,202.65	$2,511.27
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 $1,439.91 / $2,354.40 / $3,596.91	Professional		$1,439.91	$2,354.40	$3,596.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,491.30 / $3,048.10 / $3,048.10	Professional		$2,491.30	$3,048.10	$3,048.10