Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,543.56 / $1,543.56 / $4,338.00	Facility		$1,543.56	$1,543.56	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.90 / $1,543.56 / $3,652.23	Professional		$1,290.90	$1,543.56	$3,652.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,659.14 / $3,461.54 / $4,326.93	Professional		$2,659.14	$3,461.54	$4,326.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,854.38 / $2,347.06 / $3,878.56	Facility		$1,854.38	$2,347.06	$3,878.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,429.30 / $3,052.29 / $11,374.64	Professional		$1,429.30	$3,052.29	$11,374.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,241.14 / $3,380.03 / $4,067.39	Facility		$2,241.14	$3,380.03	$4,067.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,241.14 / $3,131.20 / $4,162.85	Professional		$2,241.14	$3,131.20	$4,162.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,831.19 / $2,547.78 / $3,020.38	Professional		$1,831.19	$2,547.78	$3,020.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,349.25 / $2,683.48 / $4,174.30	Professional		$1,349.25	$2,683.48	$4,174.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,996.30 / $3,666.10 / $3,666.10	Professional		$2,996.30	$3,666.10	$3,666.10