Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.69 / $1,280.69 / $1,591.90	Facility		$1,280.69	$1,280.69	$1,591.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.73 / $1,591.90 / $3,088.88	Professional		$1,075.73	$1,591.90	$3,088.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,658.12 / $3,510.95 / $4,570.39	Professional		$2,658.12	$3,510.95	$4,570.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,817.98 / $2,634.25 / $4,205.70	Facility		$1,817.98	$2,634.25	$4,205.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,927.34 / $4,050.19 / $11,810.40	Professional		$1,927.34	$4,050.19	$11,810.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,499.80 / $3,381.00 / $4,152.10	Facility		$1,499.80	$3,381.00	$4,152.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,836.36 / $3,419.22 / $4,152.10	Professional		$2,836.36	$3,419.22	$4,152.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,851.88 / $2,522.91 / $3,200.35	Professional		$1,851.88	$2,522.91	$3,200.35
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 $2,023.89 / $3,679.80 / $4,679.05	Professional		$2,023.89	$3,679.80	$4,679.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,502.80 / $3,062.30 / $3,775.20	Professional		$2,502.80	$3,062.30	$3,775.20