Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,601.85 / $1,601.85 / $4,338.00	Facility		$1,601.85	$1,601.85	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.86 / $1,601.85 / $3,775.85	Professional		$1,334.86	$1,601.85	$3,775.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,764.47 / $3,598.66 / $4,498.33	Professional		$2,764.47	$3,598.66	$4,498.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,917.53 / $2,634.00 / $4,202.33	Facility		$1,917.53	$2,634.00	$4,202.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,497.69 / $3,337.76 / $23,959.18	Professional		$1,497.69	$3,337.76	$23,959.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,447.59 / $3,897.24 / $11,523.95	Facility		$2,447.59	$3,897.24	$11,523.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,447.59 / $3,331.84 / $4,306.75	Professional		$2,447.59	$3,331.84	$4,306.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,916.71 / $2,653.27 / $3,121.29	Professional		$1,916.71	$2,653.27	$3,121.29
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 $1,497.69 / $2,896.60 / $4,505.82	Professional		$1,497.69	$2,896.60	$4,505.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,096.40 / $3,788.60 / $3,788.60	Professional		$3,096.40	$3,788.60	$3,788.60