Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.07 / $1,492.07 / $1,492.07	Facility		$1,492.07	$1,492.07	$1,492.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,347.50 / $1,492.07 / $1,623.99	Professional		$1,347.50	$1,492.07	$1,623.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,587.32 / $3,558.93 / $4,448.66	Professional		$2,587.32	$3,558.93	$4,448.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,611.25 / $2,521.60 / $4,292.46	Facility		$1,611.25	$2,521.60	$4,292.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,808.13 / $3,145.54 / $11,955.60	Professional		$1,808.13	$3,145.54	$11,955.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,448.82 / $3,693.79 / $5,176.63	Facility		$2,448.82	$3,693.79	$5,176.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,333.00 / $3,636.07 / $4,449.67	Professional		$2,333.00	$3,636.07	$4,449.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,832.29 / $2,769.87 / $3,231.91	Professional		$1,832.29	$2,769.87	$3,231.91
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 $1,730.05 / $3,049.88 / $4,471.38	Professional		$1,730.05	$3,049.88	$4,471.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,206.20 / $3,922.90 / $3,922.90	Professional		$3,206.20	$3,922.90	$3,922.90