Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,606.69 / $1,606.69 / $1,606.69	Facility		$1,606.69	$1,606.69	$1,606.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.33 / $1,606.69 / $3,718.53	Professional		$1,335.33	$1,606.69	$3,718.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,767.46 / $3,602.56 / $4,503.20	Professional		$2,767.46	$3,602.56	$4,503.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,042.75 / $2,622.25 / $4,139.27	Facility		$2,042.75	$2,622.25	$4,139.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,559.77 / $3,380.16 / $15,441.12	Professional		$1,559.77	$3,380.16	$15,441.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,488.67 / $3,743.32 / $4,876.30	Facility		$2,488.67	$3,743.32	$4,876.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,488.67 / $3,296.18 / $4,238.29	Professional		$2,488.67	$3,296.18	$4,238.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,934.62 / $2,616.12 / $3,062.42	Professional		$1,934.62	$2,616.12	$3,062.42
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 $1,770.56 / $3,132.36 / $4,568.62	Professional		$1,770.56	$3,132.36	$4,568.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,038.00 / $3,717.10 / $3,717.10	Professional		$3,038.00	$3,717.10	$3,717.10