Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.75 / $1,185.75 / $1,185.75	Facility		$1,185.75	$1,185.75	$1,185.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.01 / $1,185.75 / $3,589.73	Professional		$1,069.01	$1,185.75	$3,589.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,739.42 / $2,807.88 / $3,509.85	Professional		$2,739.42	$2,807.88	$3,509.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,528.68 / $2,000.00 / $3,339.54	Facility		$1,528.68	$2,000.00	$3,339.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,490.16 / $2,483.60 / $21,953.02	Professional		$1,490.16	$2,483.60	$21,953.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,944.70 / $3,097.64 / $3,820.94	Facility		$1,944.70	$3,097.64	$3,820.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,999.00 / $2,739.42 / $3,315.93	Professional		$1,999.00	$2,739.42	$3,315.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,563.80 / $2,078.86 / $2,434.92	Professional		$1,563.80	$2,078.86	$2,434.92
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 $1,490.16 / $2,612.30 / $3,486.20	Professional		$1,490.16	$2,612.30	$3,486.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,415.50 / $2,841.80 / $2,955.50	Professional		$2,415.50	$2,841.80	$2,955.50