Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,011.02 / $2,011.02 / $2,011.02	Facility		$2,011.02	$2,011.02	$2,011.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,685.02 / $2,011.02 / $4,831.85	Professional		$1,685.02	$2,011.02	$4,831.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,488.06 / $4,540.59 / $5,675.74	Professional		$3,488.06	$4,540.59	$5,675.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,525.25 / $3,324.74 / $5,275.13	Facility		$2,525.25	$3,324.74	$5,275.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,879.13 / $3,909.42 / $14,951.28	Professional		$1,879.13	$3,909.42	$14,951.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,896.46 / $4,610.71 / $6,276.82	Facility		$2,896.46	$4,610.71	$6,276.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,896.46 / $4,107.83 / $5,448.77	Professional		$2,896.46	$4,107.83	$5,448.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,357.46 / $3,408.68 / $3,980.38	Professional		$2,357.46	$3,408.68	$3,980.38
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 $1,816.65 / $3,444.02 / $5,643.85	Professional		$1,816.65	$3,444.02	$5,643.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,948.70 / $4,831.30 / $4,831.30	Professional		$3,948.70	$4,831.30	$4,831.30