Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,806.10 / $1,806.10 / $1,806.10	Facility		$1,806.10	$1,806.10	$1,806.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,511.10 / $1,806.10 / $4,266.47	Professional		$1,511.10	$1,806.10	$4,266.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,099.03 / $4,034.18 / $5,042.72	Professional		$3,099.03	$4,034.18	$5,042.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,388.31 / $3,022.20 / $5,323.77	Facility		$2,388.31	$3,022.20	$5,323.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,871.63 / $4,167.35 / $18,236.43	Professional		$1,871.63	$4,167.35	$18,236.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,070.63 / $4,195.91 / $5,581.23	Facility		$3,070.63	$4,195.91	$5,581.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,070.63 / $3,943.94 / $4,831.32	Professional		$3,070.63	$3,943.94	$4,831.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,221.30 / $3,074.74 / $3,505.55	Professional		$2,221.30	$3,074.74	$3,505.55
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 $2,182.90 / $3,671.23 / $5,009.82	Professional		$2,182.90	$3,671.23	$5,009.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,477.60 / $4,255.00 / $4,255.00	Professional		$3,477.60	$4,255.00	$4,255.00