Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,912.28 / $1,912.28 / $4,338.00	Facility		$1,912.28	$1,912.28	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.11 / $1,912.28 / $3,201.01	Professional		$1,623.11	$1,912.28	$3,201.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,312.10 / $4,311.54 / $5,389.42	Professional		$3,312.10	$4,311.54	$5,389.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,331.60 / $3,165.20 / $5,311.94	Facility		$2,331.60	$3,165.20	$5,311.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,930.21 / $4,028.70 / $14,648.48	Professional		$1,930.21	$4,028.70	$14,648.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,967.92 / $4,426.71 / $6,405.07	Facility		$2,967.92	$4,426.71	$6,405.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,495.94 / $4,098.32 / $5,548.96	Professional		$2,495.94	$4,098.32	$5,548.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,592.65 / $3,574.03 / $4,092.29	Professional		$2,592.65	$3,574.03	$4,092.29
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 $1,930.21 / $3,549.10 / $5,340.97	Professional		$1,930.21	$3,549.10	$5,340.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,059.70 / $4,967.20 / $4,967.20	Professional		$4,059.70	$4,967.20	$4,967.20