Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.18 / $1,313.18 / $1,313.18	Facility		$1,313.18	$1,313.18	$1,313.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.75 / $1,313.18 / $4,251.71	Professional		$1,123.75	$1,313.18	$4,251.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,005.04 / $3,024.47 / $3,780.58	Professional		$3,005.04	$3,024.47	$3,780.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,606.96 / $2,219.27 / $3,706.42	Facility		$1,606.96	$2,219.27	$3,706.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,618.12 / $2,776.79 / $10,240.71	Professional		$1,618.12	$2,776.79	$10,240.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,082.85 / $3,387.08 / $4,467.50	Facility		$2,082.85	$3,387.08	$4,467.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,175.00 / $3,080.17 / $3,912.83	Professional		$2,175.00	$3,080.17	$3,912.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,791.29 / $2,491.96 / $2,859.94	Professional		$1,791.29	$2,491.96	$2,859.94
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 $1,902.75 / $3,371.08 / $3,729.46	Professional		$1,902.75	$3,371.08	$3,729.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,837.20 / $3,337.90 / $3,471.40	Professional		$2,837.20	$3,337.90	$3,471.40