Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,735.33 / $1,735.33 / $4,338.00	Facility		$1,735.33	$1,735.33	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,467.25 / $1,656.00 / $3,339.87	Professional		$1,467.25	$1,656.00	$3,339.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,991.90 / $3,894.72 / $4,868.39	Professional		$2,991.90	$3,894.72	$4,868.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,288.40 / $2,876.38 / $4,778.14	Facility		$2,288.40	$2,876.38	$4,778.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,757.52 / $3,686.32 / $18,872.39	Professional		$1,757.52	$3,686.32	$18,872.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,721.66 / $4,087.43 / $5,649.03	Facility		$2,721.66	$4,087.43	$5,649.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,721.66 / $3,819.26 / $4,895.06	Professional		$2,721.66	$3,819.26	$4,895.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,250.60 / $3,126.70 / $3,570.89	Professional		$2,250.60	$3,126.70	$3,570.89
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 $1,757.52 / $3,148.47 / $4,901.14	Professional		$1,757.52	$3,148.47	$4,901.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,542.50 / $4,334.30 / $4,334.30	Professional		$3,542.50	$4,334.30	$4,334.30