Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.68 / $1,013.68 / $1,013.68	Facility		$1,013.68	$1,013.68	$1,013.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.53 / $1,013.68 / $3,090.56	Professional		$913.53	$1,013.68	$3,090.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,342.05 / $2,396.51 / $2,995.64	Professional		$2,342.05	$2,396.51	$2,995.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,306.34 / $1,713.12 / $2,997.56	Facility		$1,306.34	$1,713.12	$2,997.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,368.90 / $2,281.50 / $8,118.48	Professional		$1,368.90	$2,281.50	$8,118.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,778.91 / $2,651.28 / $3,271.37	Facility		$1,778.91	$2,651.28	$3,271.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,988.72 / $2,342.05 / $2,839.15	Professional		$1,988.72	$2,342.05	$2,839.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,371.87 / $1,867.66 / $2,081.71	Professional		$1,371.87	$1,867.66	$2,081.71
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 $1,368.90 / $2,128.40 / $2,992.92	Professional		$1,368.90	$2,128.40	$2,992.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,065.19 / $2,429.60 / $2,526.80	Professional		$2,065.19	$2,429.60	$2,526.80