Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.99 / $1,651.99 / $3,073.00	Facility		$1,651.99	$1,651.99	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,378.16 / $1,651.99 / $3,898.15	Professional		$1,378.16	$1,651.99	$3,898.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,830.91 / $3,685.14 / $4,606.43	Professional		$2,830.91	$3,685.14	$4,606.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,121.27 / $2,786.40 / $4,221.60	Facility		$2,121.27	$2,786.40	$4,221.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,522.70 / $3,355.67 / $12,159.92	Professional		$1,522.70	$3,355.67	$12,159.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,368.73 / $3,624.44 / $4,291.07	Facility		$2,368.73	$3,624.44	$4,291.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,463.98 / $3,471.00 / $4,473.68	Professional		$2,463.98	$3,471.00	$4,473.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,006.89 / $2,738.50 / $3,221.56	Professional		$2,006.89	$2,738.50	$3,221.56
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 $1,757.73 / $2,904.98 / $4,518.85	Professional		$1,757.73	$2,904.98	$4,518.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,195.90 / $3,910.30 / $3,910.30	Professional		$3,195.90	$3,910.30	$3,910.30