Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,724.25 / $1,724.25 / $4,338.00	Facility		$1,724.25	$1,724.25	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,451.67 / $1,724.25 / $4,201.39	Professional		$1,451.67	$1,724.25	$4,201.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,996.69 / $3,900.95 / $4,876.18	Professional		$2,996.69	$3,900.95	$4,876.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,609.19 / $2,512.48 / $4,668.84	Facility		$1,609.19	$2,512.48	$4,668.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,573.38 / $3,586.84 / $12,931.52	Professional		$1,573.38	$3,586.84	$12,931.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,653.01 / $3,976.83 / $5,448.80	Facility		$2,653.01	$3,976.83	$5,448.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,856.13 / $3,637.73 / $4,734.30	Professional		$1,856.13	$3,637.73	$4,734.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,786.53 / $2,992.09 / $3,458.33	Professional		$1,786.53	$2,992.09	$3,458.33
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 $1,878.82 / $3,445.72 / $4,838.68	Professional		$1,878.82	$3,445.72	$4,838.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,430.80 / $4,197.70 / $4,197.70	Professional		$3,430.80	$4,197.70	$4,197.70