Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.03 / $1,128.03 / $1,128.03	Facility		$1,128.03	$1,128.03	$1,128.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.47 / $1,128.03 / $1,200.02	Professional		$1,021.47	$1,128.03	$1,200.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,975.04 / $2,716.72 / $3,395.90	Professional		$1,975.04	$2,716.72	$3,395.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,160.00 / $1,726.28 / $2,887.98	Facility		$1,160.00	$1,726.28	$2,887.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,212.65 / $2,192.08 / $8,989.04	Professional		$1,212.65	$2,192.08	$8,989.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,704.18 / $2,717.45 / $3,852.21	Facility		$1,704.18	$2,717.45	$3,852.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,559.00 / $2,531.57 / $3,320.44	Professional		$1,559.00	$2,531.57	$3,320.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,294.33 / $1,815.71 / $2,433.64	Professional		$1,294.33	$1,815.71	$2,433.64
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 $1,254.55 / $2,192.08 / $3,309.82	Professional		$1,254.55	$2,192.08	$3,309.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,414.30 / $2,953.90 / $2,953.90	Professional		$2,414.30	$2,953.90	$2,953.90