Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.33 / $1,061.33 / $1,061.33	Facility		$1,061.33	$1,061.33	$1,061.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.64 / $1,061.33 / $1,154.71	Professional		$960.64	$1,061.33	$1,154.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,843.07 / $2,535.19 / $3,168.99	Professional		$1,843.07	$2,535.19	$3,168.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,150.01 / $1,732.47 / $3,065.08	Facility		$1,150.01	$1,732.47	$3,065.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,232.27 / $2,223.82 / $8,531.60	Professional		$1,232.27	$2,223.82	$8,531.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,733.55 / $2,636.32 / $3,682.27	Facility		$1,733.55	$2,636.32	$3,682.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,565.00 / $2,595.33 / $3,170.62	Professional		$1,565.00	$2,595.33	$3,170.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,311.26 / $1,977.90 / $2,306.85	Professional		$1,311.26	$1,977.90	$2,306.85
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 $1,232.27 / $2,223.82 / $3,178.45	Professional		$1,232.27	$2,223.82	$3,178.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,288.50 / $2,800.00 / $2,800.00	Professional		$2,288.50	$2,800.00	$2,800.00