Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.16 / $1,255.16 / $1,255.16	Facility		$1,255.16	$1,255.16	$1,255.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.24 / $1,255.16 / $4,048.87	Professional		$1,074.24	$1,255.16	$4,048.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,885.56 / $2,889.68 / $3,612.10	Professional		$2,885.56	$2,889.68	$3,612.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,536.16 / $2,121.21 / $3,528.12	Facility		$1,536.16	$2,121.21	$3,528.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,514.51 / $2,650.39 / $12,366.76	Professional		$1,514.51	$2,650.39	$12,366.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,952.31 / $3,238.61 / $4,275.60	Facility		$1,952.31	$3,238.61	$4,275.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,155.00 / $2,957.70 / $3,741.08	Professional		$2,155.00	$2,957.70	$3,741.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,742.42 / $2,373.02 / $2,733.80	Professional		$1,742.42	$2,373.02	$2,733.80
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 $1,514.51 / $2,524.17 / $3,559.02	Professional		$1,514.51	$2,524.17	$3,559.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,712.00 / $3,190.60 / $3,318.30	Professional		$2,712.00	$3,190.60	$3,318.30