Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.29 / $1,389.29 / $1,389.29	Facility		$1,389.29	$1,389.29	$1,389.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.03 / $1,389.29 / $2,306.48	Professional		$1,157.03	$1,389.29	$2,306.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.78 / $3,126.53 / $3,908.16	Professional		$2,401.78	$3,126.53	$3,908.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,697.85 / $2,268.66 / $3,804.76	Facility		$1,697.85	$2,268.66	$3,804.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.39 / $2,978.09 / $13,111.43	Professional		$1,288.39	$2,978.09	$13,111.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,191.81 / $3,169.13 / $4,209.92	Facility		$2,191.81	$3,169.13	$4,209.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,191.81 / $2,853.24 / $3,657.42	Professional		$2,191.81	$2,853.24	$3,657.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,681.57 / $2,332.58 / $2,659.41	Professional		$1,681.57	$2,332.58	$2,659.41
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 $1,559.95 / $2,715.60 / $3,874.47	Professional		$1,559.95	$2,715.60	$3,874.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,638.20 / $3,228.00 / $3,228.00	Professional		$2,638.20	$3,228.00	$3,228.00