Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.07 / $1,365.07 / $4,338.00	Facility		$1,365.07	$1,365.07	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.11 / $1,365.07 / $3,152.45	Professional		$1,134.11	$1,365.07	$3,152.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,350.31 / $3,059.53 / $3,824.41	Professional		$2,350.31	$3,059.53	$3,824.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,629.16 / $2,223.85 / $3,533.56	Facility		$1,629.16	$2,223.85	$3,533.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,282.03 / $2,742.75 / $14,575.95	Professional		$1,282.03	$2,742.75	$14,575.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,495.88 / $3,568.82 / $9,187.49	Facility		$2,495.88	$3,568.82	$9,187.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,021.63 / $2,799.42 / $3,596.97	Professional		$2,021.63	$2,799.42	$3,596.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,638.68 / $2,245.37 / $2,597.94	Professional		$1,638.68	$2,245.37	$2,597.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $11,831.32	Facility		$4,500.00	$4,500.00	$11,831.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,436.68 / $2,495.90 / $3,882.51	Professional		$1,436.68	$2,495.90	$3,882.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,577.30 / $3,153.40 / $3,153.40	Professional		$2,577.30	$3,153.40	$3,153.40