Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.75 / $1,217.75 / $1,217.75	Facility		$1,217.75	$1,217.75	$1,217.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.36 / $1,217.75 / $1,328.09	Professional		$1,101.36	$1,217.75	$1,328.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,110.96 / $2,903.71 / $3,629.63	Professional		$2,110.96	$2,903.71	$3,629.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.00 / $2,058.00 / $3,525.68	Facility		$1,318.00	$2,058.00	$3,525.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,482.99 / $2,576.90 / $9,785.04	Professional		$1,482.99	$2,576.90	$9,785.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,007.80 / $3,033.69 / $4,229.74	Facility		$2,007.80	$3,033.69	$4,229.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,923.00 / $2,974.50 / $3,639.01	Professional		$1,923.00	$2,974.50	$3,639.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,556.95 / $2,274.96 / $2,643.88	Professional		$1,556.95	$2,274.96	$2,643.88
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 $1,213.24 / $2,349.98 / $3,655.54	Professional		$1,213.24	$2,349.98	$3,655.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,622.80 / $3,209.10 / $3,209.10	Professional		$2,622.80	$3,209.10	$3,209.10