Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,617.21 / $1,617.21 / $4,338.00	Facility		$1,617.21	$1,617.21	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,361.02 / $1,617.21 / $2,591.09	Professional		$1,361.02	$1,617.21	$2,591.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,848.15 / $3,627.49 / $4,534.35	Professional		$2,848.15	$3,627.49	$4,534.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,955.11 / $2,579.37 / $3,729.19	Facility		$1,955.11	$2,579.37	$3,729.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.82 / $3,386.94 / $12,150.24	Professional		$1,862.82	$3,386.94	$12,150.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,995.43 / $3,938.34 / $5,220.43	Facility		$2,995.43	$3,938.34	$5,220.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,660.92 / $3,938.34 / $4,620.95	Professional		$3,660.92	$3,938.34	$4,620.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,124.58 / $2,858.56 / $3,259.08	Professional		$2,124.58	$2,858.56	$3,259.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.82 / $3,055.07 / $4,752.33	Professional		$1,862.82	$3,055.07	$4,752.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,233.10 / $3,955.80 / $3,955.80	Professional		$3,233.10	$3,955.80	$3,955.80