Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.90 / $1,076.90 / $4,338.00	Facility		$1,076.90	$1,076.90	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.72 / $1,076.90 / $3,288.00	Professional		$970.72	$1,076.90	$3,288.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,487.60 / $2,546.10 / $3,182.62	Professional		$2,487.60	$2,546.10	$3,182.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,388.13 / $1,819.96 / $3,061.63	Facility		$1,388.13	$1,819.96	$3,061.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,375.43 / $2,292.38 / $8,483.04	Professional		$1,375.43	$2,292.38	$8,483.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,796.24 / $2,818.51 / $3,477.86	Facility		$1,796.24	$2,818.51	$3,477.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,926.00 / $2,487.60 / $3,015.69	Professional		$1,926.00	$2,487.60	$3,015.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,429.31 / $1,904.22 / $2,211.10	Professional		$1,429.31	$1,904.22	$2,211.10
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 $1,375.43 / $2,262.88 / $3,183.43	Professional		$1,375.43	$2,262.88	$3,183.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,193.50 / $2,580.60 / $2,683.80	Professional		$2,193.50	$2,580.60	$2,683.80