Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,703.55 / $1,703.55 / $4,338.00	Facility		$1,703.55	$1,703.55	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,446.13 / $1,703.55 / $4,395.05	Professional		$1,446.13	$1,703.55	$4,395.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,955.39 / $3,847.20 / $4,808.99	Professional		$2,955.39	$3,847.20	$4,808.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,235.30 / $2,822.99 / $4,670.71	Facility		$2,235.30	$2,822.99	$4,670.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,682.72 / $3,554.67 / $18,574.00	Professional		$1,682.72	$3,554.67	$18,574.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,615.42 / $3,930.01 / $5,678.23	Facility		$2,615.42	$3,930.01	$5,678.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,615.42 / $3,803.18 / $4,911.45	Professional		$2,615.42	$3,803.18	$4,911.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,153.90 / $3,140.62 / $3,632.99	Professional		$2,153.90	$3,140.62	$3,632.99
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 $1,682.72 / $3,036.35 / $4,723.21	Professional		$1,682.72	$3,036.35	$4,723.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,604.10 / $4,409.70 / $4,409.70	Professional		$3,604.10	$4,409.70	$4,409.70