Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.39 / $1,147.39 / $4,338.00	Facility		$1,147.39	$1,147.39	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.73 / $1,147.39 / $3,496.05	Professional		$1,033.73	$1,147.39	$3,496.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,648.45 / $2,712.05 / $3,390.06	Professional		$2,648.45	$2,712.05	$3,390.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,478.23 / $1,939.09 / $3,255.53	Facility		$1,478.23	$1,939.09	$3,255.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,322.18 / $2,403.96 / $10,092.95	Professional		$1,322.18	$2,403.96	$10,092.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,884.90 / $2,999.96 / $3,705.20	Facility		$1,884.90	$2,999.96	$3,705.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,250.23 / $2,648.45 / $3,213.85	Professional		$2,250.23	$2,648.45	$3,213.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,521.43 / $2,025.48 / $2,354.07	Professional		$1,521.43	$2,025.48	$2,354.07
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 $1,442.38 / $2,403.96 / $3,387.44	Professional		$1,442.38	$2,403.96	$3,387.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,335.30 / $2,747.40 / $2,857.30	Professional		$2,335.30	$2,747.40	$2,857.30