Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.08 / $1,221.08 / $3,073.00	Facility		$1,221.08	$1,221.08	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.17 / $1,221.08 / $2,884.95	Professional		$1,019.17	$1,221.08	$2,884.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,118.69 / $2,758.01 / $3,447.52	Professional		$2,118.69	$2,758.01	$3,447.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,617.57 / $2,034.30 / $3,501.62	Facility		$1,617.57	$2,034.30	$3,501.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,250.20 / $2,722.40 / $9,976.00	Professional		$1,250.20	$2,722.40	$9,976.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,011.68 / $3,002.82 / $6,855.77	Facility		$2,011.68	$3,002.82	$6,855.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,011.68 / $2,654.99 / $3,320.89	Professional		$2,011.68	$2,654.99	$3,320.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,426.23 / $2,077.25 / $2,368.30	Professional		$1,426.23	$2,077.25	$2,368.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,426.02 / $3,102.13 / $3,571.85	Professional		$1,426.02	$3,102.13	$3,571.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,349.40 / $2,874.60 / $2,874.60	Professional		$2,349.40	$2,874.60	$2,874.60