Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,650.33 / $1,650.33 / $4,338.00	Facility		$1,650.33	$1,650.33	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.63 / $1,650.33 / $4,228.50	Professional		$1,401.63	$1,650.33	$4,228.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,872.80 / $3,739.68 / $4,674.60	Professional		$2,872.80	$3,739.68	$4,674.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,013.44 / $2,551.34 / $4,095.50	Facility		$2,013.44	$2,551.34	$4,095.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,560.24 / $3,074.95 / $14,422.40	Professional		$1,560.24	$3,074.95	$14,422.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,273.56 / $3,727.78 / $5,448.80	Facility		$2,273.56	$3,727.78	$5,448.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,273.56 / $3,140.80 / $4,706.56	Professional		$2,273.56	$3,140.80	$4,706.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,871.23 / $2,669.89 / $3,499.73	Professional		$1,871.23	$2,669.89	$3,499.73
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 $1,558.06 / $2,915.15 / $4,534.68	Professional		$1,558.06	$2,915.15	$4,534.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,471.90 / $4,247.89 / $4,247.89	Professional		$3,471.90	$4,247.89	$4,247.89