Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.90 / $1,037.90 / $1,037.90	Facility		$1,037.90	$1,037.90	$1,037.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.90 / $1,155.25 / $1,776.04	Professional		$1,037.90	$1,155.25	$1,776.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,524.73 / $2,537.53 / $3,171.91	Professional		$2,524.73	$2,537.53	$3,171.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,381.85 / $1,754.05 / $3,037.56	Facility		$1,381.85	$1,754.05	$3,037.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.57 / $2,247.62 / $8,553.12	Professional		$1,348.57	$2,247.62	$8,553.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,759.81 / $2,839.30 / $3,587.34	Facility		$1,759.81	$2,839.30	$3,587.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,832.00 / $2,524.73 / $3,110.57	Professional		$1,832.00	$2,524.73	$3,110.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,369.40 / $1,907.60 / $2,244.10	Professional		$1,369.40	$1,907.60	$2,244.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.57 / $2,313.48 / $3,189.56	Professional		$1,348.57	$2,313.48	$3,189.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.00 / $2,573.00 / $2,675.90	Professional		$2,187.00	$2,573.00	$2,675.90