Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,209.03 / $1,209.03 / $1,209.03	Facility		$1,209.03	$1,209.03	$1,209.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.19 / $1,209.03 / $3,159.40	Professional		$1,034.19	$1,209.03	$3,159.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,140.83 / $2,786.84 / $3,483.55	Professional		$2,140.83	$2,786.84	$3,483.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,564.04 / $2,000.00 / $3,042.70	Facility		$1,564.04	$2,000.00	$3,042.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,163.58 / $2,363.57 / $9,388.40	Professional		$1,163.58	$2,363.57	$9,388.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,746.10 / $2,816.32 / $4,079.59	Facility		$1,746.10	$2,816.32	$4,079.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,746.10 / $2,492.57 / $3,524.44	Professional		$1,746.10	$2,492.57	$3,524.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,438.42 / $1,998.58 / $2,614.12	Professional		$1,438.42	$1,998.58	$2,614.12
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 $1,164.49 / $2,179.44 / $3,390.24	Professional		$1,164.49	$2,179.44	$3,390.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,593.30 / $3,173.00 / $3,173.00	Professional		$2,593.30	$3,173.00	$3,173.00