Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,139.95 / $1,139.95 / $4,338.00	Facility		$1,139.95	$1,139.95	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.74 / $1,139.95 / $1,248.26	Professional		$1,031.74	$1,139.95	$1,248.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,975.60 / $2,717.50 / $3,396.88	Professional		$1,975.60	$2,717.50	$3,396.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,237.29 / $1,926.52 / $3,308.58	Facility		$1,237.29	$1,926.52	$3,308.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,419.73 / $2,421.71 / $9,184.32	Professional		$1,419.73	$2,421.71	$9,184.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,889.88 / $2,832.33 / $3,973.21	Facility		$1,889.88	$2,832.33	$3,973.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,833.00 / $2,792.57 / $3,416.82	Professional		$1,833.00	$2,792.57	$3,416.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,576.36 / $2,131.65 / $2,482.16	Professional		$1,576.36	$2,131.65	$2,482.16
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 $1,509.64 / $2,421.71 / $3,434.23	Professional		$1,509.64	$2,421.71	$3,434.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,462.40 / $3,012.80 / $3,012.80	Professional		$2,462.40	$3,012.80	$3,012.80