Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.56 / $1,316.56 / $1,316.56	Facility		$1,316.56	$1,316.56	$1,316.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.33 / $1,316.56 / $3,451.57	Professional		$1,126.33	$1,316.56	$3,451.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,331.16 / $3,034.59 / $3,793.24	Professional		$2,331.16	$3,034.59	$3,793.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,617.99 / $2,134.39 / $3,577.47	Facility		$1,617.99	$2,134.39	$3,577.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,267.53 / $2,616.58 / $10,237.84	Professional		$1,267.53	$2,616.58	$10,237.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,933.11 / $3,093.32 / $4,458.13	Facility		$1,933.11	$3,093.32	$4,458.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,933.11 / $2,772.49 / $3,852.31	Professional		$1,933.11	$2,772.49	$3,852.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,598.63 / $2,426.71 / $2,854.77	Professional		$1,598.63	$2,426.71	$2,854.77
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 $1,370.59 / $2,380.27 / $3,702.64	Professional		$1,370.59	$2,380.27	$3,702.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,832.00 / $3,465.10 / $3,465.10	Professional		$2,832.00	$3,465.10	$3,465.10