Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,643.07 / $1,643.07 / $1,643.07	Facility		$1,643.07	$1,643.07	$1,643.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,374.54 / $1,643.07 / $3,874.98	Professional		$1,374.54	$1,643.07	$3,874.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,819.53 / $3,670.34 / $4,587.93	Professional		$2,819.53	$3,670.34	$4,587.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,073.71 / $2,720.80 / $4,455.37	Facility		$2,073.71	$2,720.80	$4,455.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,675.55 / $3,580.98 / $16,240.27	Professional		$1,675.55	$3,580.98	$16,240.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,035.99 / $4,238.35 / $8,689.45	Facility		$3,035.99	$4,238.35	$8,689.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,643.61 / $3,583.67 / $4,391.46	Professional		$2,643.61	$3,583.67	$4,391.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,062.01 / $2,793.88 / $3,185.34	Professional		$2,062.01	$2,793.88	$3,185.34
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 $1,875.75 / $2,927.34 / $4,553.64	Professional		$1,875.75	$2,927.34	$4,553.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,160.00 / $3,866.30 / $3,866.30	Professional		$3,160.00	$3,866.30	$3,866.30