Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,997.77 / $1,997.77 / $4,338.00	Facility		$1,997.77	$1,997.77	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,681.54 / $1,997.77 / $4,874.57	Professional		$1,681.54	$1,997.77	$4,874.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.31 / $4,514.88 / $5,643.61	Professional		$3,468.31	$4,514.88	$5,643.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,740.56 / $2,917.89 / $5,392.88	Facility		$1,740.56	$2,917.89	$5,392.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,830.76 / $4,191.29 / $14,998.96	Professional		$1,830.76	$4,191.29	$14,998.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,102.41 / $4,610.76 / $6,331.04	Facility		$3,102.41	$4,610.76	$6,331.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,154.91 / $4,235.25 / $5,493.33	Professional		$2,154.91	$4,235.25	$5,493.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,072.88 / $3,484.10 / $4,010.13	Professional		$2,072.88	$3,484.10	$4,010.13
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,830.76 / $3,334.64 / $5,623.27	Professional		$1,830.76	$3,334.64	$5,623.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,978.20 / $4,867.50 / $4,867.50	Professional		$3,978.20	$4,867.50	$4,867.50