Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,639.98 / $1,639.98 / $1,639.98	Facility		$1,639.98	$1,639.98	$1,639.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.16 / $1,639.98 / $2,718.34	Professional		$1,366.16	$1,639.98	$2,718.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,835.09 / $3,690.60 / $4,613.25	Professional		$2,835.09	$3,690.60	$4,613.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,994.74 / $2,673.44 / $4,494.00	Facility		$1,994.74	$2,673.44	$4,494.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,526.75 / $3,437.97 / $14,308.48	Professional		$1,526.75	$3,437.97	$14,308.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,537.71 / $3,748.04 / $4,980.56	Facility		$2,537.71	$3,748.04	$4,980.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,537.71 / $3,470.16 / $4,326.78	Professional		$2,537.71	$3,470.16	$4,326.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,989.32 / $2,758.13 / $3,144.58	Professional		$1,989.32	$2,758.13	$3,144.58
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 $1,471.04 / $2,951.60 / $4,591.38	Professional		$1,471.04	$2,951.60	$4,591.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,119.50 / $3,816.90 / $3,816.90	Professional		$3,119.50	$3,816.90	$3,816.90