Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.92 / $1,409.92 / $1,409.92	Facility		$1,409.92	$1,409.92	$1,409.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.78 / $1,409.92 / $4,333.20	Professional		$1,269.78	$1,409.92	$4,333.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,148.51 / $3,338.44 / $4,173.05	Professional		$3,148.51	$3,338.44	$4,173.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,770.01 / $2,145.92 / $3,901.23	Facility		$1,770.01	$2,145.92	$3,901.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,730.45 / $2,919.00 / $12,672.22	Professional		$1,730.45	$2,919.00	$12,672.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,236.17 / $3,670.85 / $4,717.77	Facility		$2,236.17	$3,670.85	$4,717.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,161.00 / $3,362.44 / $4,085.77	Professional		$2,161.00	$3,362.44	$4,085.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,871.66 / $2,550.98 / $3,000.97	Professional		$1,871.66	$2,550.98	$3,000.97
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 $1,730.45 / $2,840.11 / $4,069.88	Professional		$1,730.45	$2,840.11	$4,069.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,977.10 / $3,502.40 / $3,642.50	Professional		$2,977.10	$3,502.40	$3,642.50