Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.30 / $1,454.30 / $1,454.30	Facility		$1,454.30	$1,454.30	$1,454.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,244.99 / $1,454.30 / $3,831.35	Professional		$1,244.99	$1,454.30	$3,831.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,573.55 / $3,350.13 / $4,187.66	Professional		$2,573.55	$3,350.13	$4,187.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,915.80 / $2,424.65 / $4,083.63	Facility		$1,915.80	$2,424.65	$4,083.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,410.96 / $3,117.30 / $11,343.28	Professional		$1,410.96	$3,117.30	$11,343.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,293.29 / $3,423.18 / $4,948.24	Facility		$2,293.29	$3,423.18	$4,948.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,293.29 / $3,323.22 / $4,282.14	Professional		$2,293.29	$3,323.22	$4,282.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,968.80 / $2,746.09 / $3,166.58	Professional		$1,968.80	$2,746.09	$3,166.58
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 $1,632.87 / $2,648.72 / $4,120.22	Professional		$1,632.87	$2,648.72	$4,120.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,141.40 / $3,843.60 / $3,843.60	Professional		$3,141.40	$3,843.60	$3,843.60