Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,304.61 / $1,304.61 / $1,304.61	Facility		$1,304.61	$1,304.61	$1,304.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.41 / $1,304.61 / $3,982.92	Professional		$1,175.41	$1,304.61	$3,982.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,012.35 / $3,083.68 / $3,854.60	Professional		$3,012.35	$3,083.68	$3,854.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,680.84 / $2,204.81 / $3,713.07	Facility		$1,680.84	$2,204.81	$3,713.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,651.08 / $2,751.80 / $12,420.21	Professional		$1,651.08	$2,751.80	$12,420.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,157.37 / $3,412.35 / $4,214.10	Facility		$2,157.37	$3,412.35	$4,214.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,337.00 / $3,012.35 / $3,654.61	Professional		$2,337.00	$3,012.35	$3,654.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,732.04 / $2,312.67 / $2,677.52	Professional		$1,732.04	$2,312.67	$2,677.52
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 $1,651.08 / $2,739.56 / $3,855.54	Professional		$1,651.08	$2,739.56	$3,855.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,656.20 / $3,124.90 / $3,249.90	Professional		$2,656.20	$3,124.90	$3,249.90