Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.32 / $1,163.32 / $1,163.32	Facility		$1,163.32	$1,163.32	$1,163.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.58 / $1,163.32 / $3,735.36	Professional		$995.58	$1,163.32	$3,735.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,650.67 / $2,679.32 / $3,349.16	Professional		$2,650.67	$2,679.32	$3,349.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,423.68 / $1,916.49 / $3,257.51	Facility		$1,423.68	$1,916.49	$3,257.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.83 / $2,447.62 / $9,895.07	Professional		$1,412.83	$2,447.62	$9,895.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,819.50 / $2,998.77 / $3,953.37	Facility		$1,819.50	$2,998.77	$3,953.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,779.00 / $2,716.94 / $3,461.25	Professional		$1,779.00	$2,716.94	$3,461.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,547.33 / $2,190.26 / $2,530.03	Professional		$1,547.33	$2,190.26	$2,530.03
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 $1,578.80 / $2,720.66 / $3,290.06	Professional		$1,578.80	$2,720.66	$3,290.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,509.90 / $2,952.80 / $3,070.90	Professional		$2,509.90	$2,952.80	$3,070.90