Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.99 / $1,501.99 / $4,338.00	Facility		$1,501.99	$1,501.99	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.69 / $1,501.99 / $3,599.30	Professional		$1,256.69	$1,501.99	$3,599.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,598.09 / $3,382.07 / $4,227.59	Professional		$2,598.09	$3,382.07	$4,227.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,977.99 / $2,519.76 / $3,540.83	Facility		$1,977.99	$2,519.76	$3,540.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,405.78 / $2,805.47 / $15,972.78	Professional		$1,405.78	$2,805.47	$15,972.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,083.26 / $3,439.00 / $4,695.88	Facility		$2,083.26	$3,439.00	$4,695.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,083.26 / $3,100.43 / $4,075.44	Professional		$2,083.26	$3,100.43	$4,075.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,670.95 / $2,222.46 / $2,964.74	Professional		$1,670.95	$2,222.46	$2,964.74
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 $1,405.78 / $2,671.88 / $4,212.26	Professional		$1,405.78	$2,671.88	$4,212.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,941.10 / $3,598.60 / $3,598.60	Professional		$2,941.10	$3,598.60	$3,598.60