Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,734.05 / $1,734.05 / $1,734.05	Facility		$1,734.05	$1,734.05	$1,734.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,459.81 / $1,734.05 / $5,097.22	Professional		$1,459.81	$1,734.05	$5,097.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,014.05 / $3,923.55 / $4,904.43	Professional		$3,014.05	$3,923.55	$4,904.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,097.02 / $2,959.04 / $4,725.66	Facility		$2,097.02	$2,959.04	$4,725.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,927.72 / $3,680.19 / $16,814.83	Professional		$1,927.72	$3,680.19	$16,814.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,467.01 / $3,698.46 / $4,760.22	Facility		$1,467.01	$3,698.46	$4,760.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,716.55 / $3,902.45 / $4,749.92	Professional		$2,716.55	$3,902.45	$4,749.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,184.44 / $3,000.79 / $3,468.68	Professional		$2,184.44	$3,000.79	$3,468.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,571.85 / $2,862.97 / $4,840.00	Professional		$1,571.85	$2,862.97	$4,840.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,441.10 / $4,210.20 / $4,210.20	Professional		$3,441.10	$4,210.20	$4,210.20