Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,702.93 / $1,702.93 / $4,338.00	Facility		$1,702.93	$1,702.93	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.68 / $1,702.93 / $3,829.20	Professional		$1,420.68	$1,702.93	$3,829.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,841.68 / $3,699.17 / $4,623.96	Professional		$2,841.68	$3,699.17	$4,623.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,087.85 / $2,739.41 / $4,497.85	Facility		$2,087.85	$2,739.41	$4,497.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,600.35 / $3,542.91 / $16,304.65	Professional		$1,600.35	$3,542.91	$16,304.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,609.58 / $4,152.25 / $32,710.80	Facility		$2,609.58	$4,152.25	$32,710.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,609.58 / $3,405.58 / $4,292.17	Professional		$2,609.58	$3,405.58	$4,292.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,967.21 / $2,763.81 / $3,170.13	Professional		$1,967.21	$2,763.81	$3,170.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $36,780.10	Facility		$4,500.00	$4,500.00	$36,780.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,855.81 / $2,960.60 / $4,605.38	Professional		$1,855.81	$2,960.60	$4,605.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,126.00 / $3,824.70 / $3,824.70	Professional		$3,126.00	$3,824.70	$3,824.70