Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.94 / $1,394.94 / $1,394.94	Facility		$1,394.94	$1,394.94	$1,394.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,169.04 / $1,394.94 / $3,343.00	Professional		$1,169.04	$1,394.94	$3,343.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,422.73 / $3,153.80 / $3,942.25	Professional		$2,422.73	$3,153.80	$3,942.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,679.33 / $2,205.86 / $3,343.41	Facility		$1,679.33	$2,205.86	$3,343.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,304.11 / $2,607.02 / $10,906.00	Professional		$1,304.11	$2,607.02	$10,906.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,931.64 / $3,194.14 / $4,340.28	Facility		$1,931.64	$3,194.14	$4,340.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,931.64 / $2,677.43 / $3,761.24	Professional		$1,931.64	$2,677.43	$3,761.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,559.20 / $2,143.69 / $2,756.44	Professional		$1,559.20	$2,143.69	$2,756.44
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 $1,250.66 / $2,277.94 / $3,892.48	Professional		$1,250.66	$2,277.94	$3,892.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,734.50 / $3,345.70 / $3,345.70	Professional		$2,734.50	$3,345.70	$3,345.70