Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.10 / $1,956.10 / $4,338.00	Facility		$1,956.10	$1,956.10	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,646.47 / $1,956.10 / $4,771.45	Professional		$1,646.47	$1,956.10	$4,771.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,395.89 / $4,420.60 / $5,525.77	Professional		$3,395.89	$4,420.60	$5,525.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,584.94 / $3,242.72 / $5,254.81	Facility		$2,584.94	$3,242.72	$5,254.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,963.63 / $4,091.37 / $18,269.46	Professional		$1,963.63	$4,091.37	$18,269.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,026.00 / $4,573.82 / $6,198.59	Facility		$3,026.00	$4,573.82	$6,198.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,026.00 / $4,236.08 / $5,379.24	Professional		$3,026.00	$4,236.08	$5,379.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,527.57 / $3,417.96 / $3,925.39	Professional		$2,527.57	$3,417.96	$3,925.39
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 $2,143.10 / $3,512.93 / $5,464.56	Professional		$2,143.10	$3,512.93	$5,464.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,894.10 / $4,764.60 / $4,764.60	Professional		$3,894.10	$4,764.60	$4,764.60