Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.38 / $1,217.38 / $1,217.38	Facility		$1,217.38	$1,217.38	$1,217.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.50 / $1,217.38 / $2,932.48	Professional		$1,023.50	$1,217.38	$2,932.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.23 / $2,782.17 / $3,477.71	Professional		$2,137.23	$2,782.17	$3,477.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,470.26 / $2,000.00 / $2,978.69	Facility		$1,470.26	$2,000.00	$2,978.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,149.93 / $2,372.69 / $10,776.75	Professional		$1,149.93	$2,372.69	$10,776.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,750.17 / $2,821.63 / $3,858.48	Facility		$1,750.17	$2,821.63	$3,858.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,750.17 / $2,434.01 / $3,348.36	Professional		$1,750.17	$2,434.01	$3,348.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,418.60 / $1,956.70 / $2,421.35	Professional		$1,418.60	$1,956.70	$2,421.35
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 $1,242.83 / $2,264.51 / $3,522.57	Professional		$1,242.83	$2,264.51	$3,522.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,402.10 / $2,939.00 / $2,939.00	Professional		$2,402.10	$2,939.00	$2,939.00