Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.82 / $1,346.82 / $1,346.82	Facility		$1,346.82	$1,346.82	$1,346.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.69 / $1,346.82 / $3,956.70	Professional		$1,150.69	$1,346.82	$3,956.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,058.92 / $3,124.19 / $3,905.24	Professional		$3,058.92	$3,124.19	$3,905.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,645.49 / $2,000.00 / $3,653.49	Facility		$1,645.49	$2,000.00	$3,653.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,609.69 / $2,682.82 / $10,285.12	Professional		$1,609.69	$2,682.82	$10,285.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,092.67 / $3,412.15 / $4,341.34	Facility		$2,092.67	$3,412.15	$4,341.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,245.00 / $3,058.92 / $3,753.10	Professional		$2,245.00	$3,058.92	$3,753.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,720.51 / $2,326.60 / $2,718.92	Professional		$1,720.51	$2,326.60	$2,718.92
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 $1,609.69 / $2,428.07 / $3,777.00	Professional		$1,609.69	$2,428.07	$3,777.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,649.80 / $3,117.40 / $3,242.10	Professional		$2,649.80	$3,117.40	$3,242.10