Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,420.43 / $1,420.43 / $1,420.43	Facility		$1,420.43	$1,420.43	$1,420.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.08 / $1,420.43 / $4,603.20	Professional		$1,215.08	$1,420.43	$4,603.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.79 / $3,276.66 / $4,081.51	Professional		$3,264.79	$3,276.66	$4,081.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.58 / $2,053.50 / $4,012.24	Facility		$1,737.58	$2,053.50	$4,012.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,736.14 / $3,014.48 / $11,091.60	Professional		$1,736.14	$3,014.48	$11,091.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,238.76 / $3,668.45 / $4,853.34	Facility		$2,238.76	$3,668.45	$4,853.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,395.00 / $3,358.58 / $4,245.50	Professional		$2,395.00	$3,358.58	$4,245.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,769.22 / $2,700.25 / $3,098.65	Professional		$1,769.22	$2,700.25	$3,098.65
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 $1,736.14 / $2,893.56 / $4,038.13	Professional		$1,736.14	$2,893.56	$4,038.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,074.00 / $3,616.40 / $3,761.10	Professional		$3,074.00	$3,616.40	$3,761.10