Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.84 / $1,430.84 / $1,430.84	Facility		$1,430.84	$1,430.84	$1,430.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.19 / $1,430.84 / $3,329.57	Professional		$1,192.19	$1,430.84	$3,329.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,474.80 / $3,221.58 / $4,026.97	Professional		$2,474.80	$3,221.58	$4,026.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,766.56 / $2,337.23 / $3,840.64	Facility		$1,766.56	$2,337.23	$3,840.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,327.74 / $3,027.17 / $13,577.03	Professional		$1,327.74	$3,027.17	$13,577.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,230.17 / $3,266.46 / $4,337.13	Facility		$2,230.17	$3,266.46	$4,337.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,230.17 / $2,963.68 / $3,775.92	Professional		$2,230.17	$2,963.68	$3,775.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,740.19 / $2,404.07 / $2,740.92	Professional		$1,740.19	$2,404.07	$2,740.92
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 $1,312.67 / $2,798.82 / $4,024.61	Professional		$1,312.67	$2,798.82	$4,024.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,719.10 / $3,326.90 / $3,326.90	Professional		$2,719.10	$3,326.90	$3,326.90