Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.58 / $1,121.58 / $1,121.58	Facility		$1,121.58	$1,121.58	$1,121.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.48 / $1,121.58 / $3,533.67	Professional		$1,007.48	$1,121.58	$3,533.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,629.13 / $2,655.76 / $3,286.83	Professional		$2,629.13	$2,655.76	$3,286.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,440.70 / $1,895.49 / $3,181.95	Facility		$1,440.70	$1,895.49	$3,181.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,390.48 / $2,380.19 / $8,856.87	Professional		$1,390.48	$2,380.19	$8,856.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,807.35 / $2,935.94 / $3,815.72	Facility		$1,807.35	$2,935.94	$3,815.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $2,695.03 / $3,285.91	Professional		$1,827.00	$2,695.03	$3,285.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,518.43 / $2,053.33 / $2,395.46	Professional		$1,518.43	$2,053.33	$2,395.46
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 $1,093.59 / $2,116.33 / $3,292.07	Professional		$1,093.59	$2,116.33	$3,292.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,376.40 / $2,795.80 / $2,907.60	Professional		$2,376.40	$2,795.80	$2,907.60