Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.49 / $1,600.49 / $1,600.49	Facility		$1,600.49	$1,600.49	$1,600.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.15 / $1,600.49 / $3,734.55	Professional		$1,334.15	$1,600.49	$3,734.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,769.86 / $3,605.67 / $4,507.09	Professional		$2,769.86	$3,605.67	$4,507.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,111.01 / $2,622.66 / $4,044.06	Facility		$2,111.01	$2,622.66	$4,044.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,553.80 / $3,170.96 / $12,979.34	Professional		$1,553.80	$3,170.96	$12,979.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,348.55 / $3,723.40 / $4,857.53	Facility		$2,348.55	$3,723.40	$4,857.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,348.55 / $3,301.54 / $4,228.43	Professional		$2,348.55	$3,301.54	$4,228.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,886.56 / $2,610.92 / $3,071.48	Professional		$1,886.56	$2,610.92	$3,071.48
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 $1,660.98 / $2,891.30 / $4,497.58	Professional		$1,660.98	$2,891.30	$4,497.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,047.00 / $3,728.10 / $3,728.10	Professional		$3,047.00	$3,728.10	$3,728.10