Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.27 / $1,827.27 / $4,338.00	Facility		$1,827.27	$1,827.27	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,551.33 / $1,827.27 / $4,713.89	Professional		$1,551.33	$1,827.27	$4,713.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,171.45 / $4,128.45 / $5,160.56	Professional		$3,171.45	$4,128.45	$5,160.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,397.15 / $3,088.09 / $5,019.60	Facility		$2,397.15	$3,088.09	$5,019.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,776.22 / $3,799.70 / $13,963.92	Professional		$1,776.22	$3,799.70	$13,963.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,795.78 / $4,215.32 / $6,083.91	Facility		$2,795.78	$4,215.32	$6,083.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,795.78 / $4,085.90 / $5,265.73	Professional		$2,795.78	$4,085.90	$5,265.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,421.02 / $3,374.44 / $3,896.93	Professional		$2,421.02	$3,374.44	$3,896.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,990.32 / $3,618.76 / $5,069.74	Professional		$1,990.32	$3,618.76	$5,069.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,865.90 / $4,730.00 / $4,730.00	Professional		$3,865.90	$4,730.00	$4,730.00