Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.31 / $1,326.31 / $1,688.03	Facility		$1,326.31	$1,326.31	$1,688.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,107.99 / $1,411.17 / $3,993.67	Professional		$1,107.99	$1,411.17	$3,993.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,742.08 / $3,597.42 / $4,842.10	Professional		$2,742.08	$3,597.42	$4,842.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,872.50 / $2,740.86 / $4,262.93	Facility		$1,872.50	$2,740.86	$4,262.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,013.25 / $4,184.63 / $12,434.32	Professional		$2,013.25	$4,184.63	$12,434.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,695.45 / $3,439.31 / $4,423.97	Facility		$1,695.45	$3,439.31	$4,423.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,891.30 / $3,543.51 / $4,423.97	Professional		$2,891.30	$3,543.51	$4,423.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,934.02 / $2,594.07 / $3,288.19	Professional		$1,934.02	$2,594.07	$3,288.19
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 $2,013.25 / $3,306.78 / $4,897.79	Professional		$2,013.25	$3,306.78	$4,897.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,573.40 / $3,148.70 / $3,991.20	Professional		$2,573.40	$3,148.70	$3,991.20