Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,709.57 / $1,709.57 / $1,709.57	Facility		$1,709.57	$1,709.57	$1,709.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.34 / $1,709.57 / $4,111.63	Professional		$1,431.34	$1,709.57	$4,111.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,961.98 / $3,855.77 / $4,819.71	Professional		$2,961.98	$3,855.77	$4,819.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,253.81 / $2,828.57 / $4,500.00	Facility		$2,253.81	$2,828.57	$4,500.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,596.34 / $3,575.67 / $12,714.80	Professional		$1,596.34	$3,575.67	$12,714.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,641.52 / $3,920.05 / $5,350.77	Facility		$2,641.52	$3,920.05	$5,350.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,641.52 / $3,542.75 / $4,642.80	Professional		$2,641.52	$3,542.75	$4,642.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,134.62 / $2,904.48 / $3,385.23	Professional		$2,134.62	$2,904.48	$3,385.23
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 $1,872.97 / $3,091.10 / $4,808.38	Professional		$1,872.97	$3,091.10	$4,808.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,358.30 / $4,109.00 / $4,109.00	Professional		$3,358.30	$4,109.00	$4,109.00