Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,437.12 / $1,437.12 / $3,511.00	Facility		$1,437.12	$1,437.12	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.08 / $1,437.12 / $3,494.63	Professional		$1,210.08	$1,437.12	$3,494.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,499.34 / $3,253.52 / $4,066.90	Professional		$2,499.34	$3,253.52	$4,066.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,721.60 / $2,239.10 / $3,841.44	Facility		$1,721.60	$2,239.10	$3,841.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,306.50 / $3,000.08 / $10,766.00	Professional		$1,306.50	$3,000.08	$10,766.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,216.10 / $3,312.13 / $4,535.28	Facility		$2,216.10	$3,312.13	$4,535.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,815.52 / $3,068.56 / $3,939.25	Professional		$1,815.52	$3,068.56	$3,939.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,486.29 / $2,482.10 / $2,878.06	Professional		$1,486.29	$2,482.10	$2,878.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,571.47 / $3,000.08 / $4,022.76	Professional		$1,571.47	$3,000.08	$4,022.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,855.10 / $3,493.40 / $3,493.40	Professional		$2,855.10	$3,493.40	$3,493.40