Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.22 / $1,403.22 / $1,403.22	Facility		$1,403.22	$1,403.22	$1,403.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.60 / $1,403.22 / $4,504.78	Professional		$1,200.60	$1,403.22	$4,504.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,210.40 / $3,227.81 / $4,034.76	Professional		$3,210.40	$3,227.81	$4,034.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,716.87 / $2,371.44 / $3,926.32	Facility		$1,716.87	$2,371.44	$3,926.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,706.23 / $2,956.39 / $11,724.26	Professional		$1,706.23	$2,956.39	$11,724.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,197.56 / $3,618.18 / $4,778.28	Facility		$2,197.56	$3,618.18	$4,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,279.00 / $3,290.66 / $4,179.45	Professional		$2,279.00	$3,290.66	$4,179.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,934.44 / $2,640.49 / $3,052.07	Professional		$1,934.44	$2,640.49	$3,052.07
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 $1,706.23 / $2,843.72 / $3,970.01	Professional		$1,706.23	$2,843.72	$3,970.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,027.80 / $3,562.10 / $3,704.60	Professional		$3,027.80	$3,562.10	$3,704.60