Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.88 / $1,317.88 / $3,511.00	Facility		$1,317.88	$1,317.88	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.43 / $1,317.88 / $3,202.38	Professional		$1,110.43	$1,317.88	$3,202.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,295.25 / $2,987.85 / $3,734.81	Professional		$2,295.25	$2,987.85	$3,734.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,277.54 / $1,908.42 / $3,538.52	Facility		$1,277.54	$1,908.42	$3,538.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,193.92 / $2,748.38 / $9,868.71	Professional		$1,193.92	$2,748.38	$9,868.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,101.02 / $3,557.85 / $11,051.58	Facility		$2,101.02	$3,557.85	$11,051.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,463.06 / $2,755.70 / $3,606.57	Professional		$1,463.06	$2,755.70	$3,606.57
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,360.91 / $2,268.58 / $2,638.71	Professional		$1,360.91	$2,268.58	$2,638.71
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,439.63 / $2,693.62 / $3,680.01	Professional		$1,439.63	$2,693.62	$3,680.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,617.69 / $3,202.80 / $3,202.80	Professional		$2,617.69	$3,202.80	$3,202.80