Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.39 / $1,725.39 / $4,338.00	Facility		$1,725.39	$1,725.39	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,433.98 / $1,647.81 / $2,757.43	Professional		$1,433.98	$1,647.81	$2,757.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,959.58 / $3,852.65 / $4,815.81	Professional		$2,959.58	$3,852.65	$4,815.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,059.91 / $2,735.23 / $4,666.62	Facility		$2,059.91	$2,735.23	$4,666.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,674.76 / $3,623.03 / $13,625.14	Professional		$1,674.76	$3,623.03	$13,625.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,677.96 / $3,929.88 / $5,450.90	Facility		$2,677.96	$3,929.88	$5,450.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,495.00 / $3,437.16 / $4,735.50	Professional		$2,495.00	$3,437.16	$4,735.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,181.10 / $2,990.93 / $3,418.22	Professional		$2,181.10	$2,990.93	$3,418.22
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 $1,897.78 / $3,450.50 / $4,839.68	Professional		$1,897.78	$3,450.50	$4,839.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,391.00 / $4,149.00 / $4,149.00	Professional		$3,391.00	$4,149.00	$4,149.00