Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.27 / $1,194.27 / $1,194.27	Facility		$1,194.27	$1,194.27	$1,194.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.81 / $1,194.27 / $3,835.31	Professional		$1,107.81	$1,194.27	$3,835.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,906.10 / $2,972.27 / $3,715.33	Professional		$2,906.10	$2,972.27	$3,715.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.17 / $2,000.00 / $3,573.38	Facility		$1,584.17	$2,000.00	$3,573.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,589.60 / $2,649.34 / $9,901.20	Professional		$1,589.60	$2,649.34	$9,901.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,077.67 / $3,289.79 / $4,064.96	Facility		$2,077.67	$3,289.79	$4,064.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,208.00 / $2,906.10 / $3,523.71	Professional		$2,208.00	$2,906.10	$3,523.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.82 / $2,222.75 / $2,583.07	Professional		$1,659.82	$2,222.75	$2,583.07
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 $1,716.23 / $2,389.79 / $3,717.45	Professional		$1,716.23	$2,389.79	$3,717.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,517.40 / $2,961.60 / $3,080.10	Professional		$2,517.40	$2,961.60	$3,080.10