Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.16 / $1,168.16 / $1,168.16	Facility		$1,168.16	$1,168.16	$1,168.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.75 / $1,168.16 / $3,769.25	Professional		$1,083.75	$1,168.16	$3,769.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,843.51 / $2,907.60 / $3,634.50	Professional		$2,843.51	$2,907.60	$3,634.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,549.76 / $1,974.19 / $3,522.27	Facility		$1,549.76	$1,974.19	$3,522.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,561.10 / $2,601.84 / $9,692.64	Professional		$1,561.10	$2,601.84	$9,692.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,041.25 / $3,220.63 / $3,979.45	Facility		$2,041.25	$3,220.63	$3,979.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,211.00 / $2,843.51 / $3,449.25	Professional		$2,211.00	$2,843.51	$3,449.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,644.25 / $2,194.90 / $2,527.44	Professional		$1,644.25	$2,194.90	$2,527.44
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 $1,561.10 / $2,343.65 / $3,645.68	Professional		$1,561.10	$2,343.65	$3,645.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,463.10 / $2,897.80 / $3,013.70	Professional		$2,463.10	$2,897.80	$3,013.70