Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.66 / $1,510.66 / $4,338.00	Facility		$1,510.66	$1,510.66	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,269.95 / $1,510.66 / $4,427.29	Professional		$1,269.95	$1,510.66	$4,427.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,627.42 / $3,420.25 / $4,275.31	Professional		$2,627.42	$3,420.25	$4,275.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,824.28 / $2,382.92 / $4,070.20	Facility		$1,824.28	$2,382.92	$4,070.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,658.76 / $3,166.72 / $11,296.00	Professional		$1,658.76	$3,166.72	$11,296.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,799.11 / $4,062.27 / $21,157.54	Facility		$2,799.11	$4,062.27	$21,157.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,340.27 / $3,391.54 / $4,121.87	Professional		$2,340.27	$3,391.54	$4,121.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,921.32 / $2,598.14 / $3,014.55	Professional		$1,921.32	$2,598.14	$3,014.55
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $25,733.64	Facility		$6,571.00	$6,571.00	$25,733.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,658.76 / $3,015.92 / $4,228.64	Professional		$1,658.76	$3,015.92	$4,228.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,990.60 / $3,659.00 / $3,659.00	Professional		$2,990.60	$3,659.00	$3,659.00