Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,128.52 / $1,128.52 / $1,128.52	Facility		$1,128.52	$1,128.52	$1,128.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.32 / $1,128.52 / $1,229.55	Professional		$1,022.32	$1,128.52	$1,229.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,960.88 / $2,697.24 / $3,371.56	Professional		$1,960.88	$2,697.24	$3,371.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,226.36 / $1,907.20 / $3,470.57	Facility		$1,226.36	$1,907.20	$3,470.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.50 / $2,392.21 / $9,094.16	Professional		$1,412.50	$2,392.21	$9,094.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,866.60 / $2,782.97 / $3,924.17	Facility		$1,866.60	$2,782.97	$3,924.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,568.00 / $2,767.82 / $3,379.59	Professional		$1,568.00	$2,767.82	$3,379.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,275.18 / $2,110.19 / $2,460.16	Professional		$1,275.18	$2,110.19	$2,460.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,315.72 / $2,392.21 / $3,383.02	Professional		$1,315.72	$2,392.21	$3,383.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,440.60 / $2,986.10 / $2,986.10	Professional		$2,440.60	$2,986.10	$2,986.10