Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.82 / $1,456.82 / $1,456.82	Facility		$1,456.82	$1,456.82	$1,456.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.39 / $1,456.82 / $2,572.17	Professional		$1,246.39	$1,456.82	$2,572.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,575.94 / $3,353.25 / $4,191.56	Professional		$2,575.94	$3,353.25	$4,191.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.55 / $2,462.03 / $4,072.67	Facility		$1,949.55	$2,462.03	$4,072.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,435.62 / $3,083.96 / $11,352.24	Professional		$1,435.62	$3,083.96	$11,352.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,269.78 / $3,426.41 / $4,953.47	Facility		$2,269.78	$3,426.41	$4,953.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,269.78 / $3,315.19 / $4,283.97	Professional		$2,269.78	$3,315.19	$4,283.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,969.64 / $2,738.54 / $3,168.52	Professional		$1,969.64	$2,738.54	$3,168.52
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 $1,615.41 / $2,647.76 / $4,118.74	Professional		$1,615.41	$2,647.76	$4,118.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,143.30 / $3,845.90 / $3,845.90	Professional		$3,143.30	$3,845.90	$3,845.90