Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.34 / $1,265.34 / $4,338.00	Facility		$1,265.34	$1,265.34	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.31 / $1,265.34 / $3,064.25	Professional		$1,066.31	$1,265.34	$3,064.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,206.07 / $2,871.76 / $3,589.70	Professional		$2,206.07	$2,871.76	$3,589.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,538.24 / $2,008.62 / $3,357.00	Facility		$1,538.24	$2,008.62	$3,357.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,188.60 / $2,610.98 / $9,454.64	Professional		$1,188.60	$2,610.98	$9,454.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $3,135.04 / $15,588.16	Facility		$1,932.00	$3,135.04	$15,588.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,924.40 / $2,675.24 / $3,443.40	Professional		$1,924.40	$2,675.24	$3,443.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,583.17 / $2,153.12 / $2,527.44	Professional		$1,583.17	$2,153.12	$2,527.44
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 $1,367.66 / $2,579.78 / $3,508.82	Professional		$1,367.66	$2,579.78	$3,508.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,507.30 / $3,067.80 / $3,067.80	Professional		$2,507.30	$3,067.80	$3,067.80