Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.10 / $1,276.10 / $4,338.00	Facility		$1,276.10	$1,276.10	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.36 / $1,276.10 / $3,094.55	Professional		$1,074.36	$1,276.10	$3,094.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,219.84 / $2,889.68 / $3,612.10	Professional		$2,219.84	$2,889.68	$3,612.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,680.11 / $2,110.08 / $3,402.62	Facility		$1,680.11	$2,110.08	$3,402.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,243.04 / $2,639.43 / $9,545.36	Professional		$1,243.04	$2,639.43	$9,545.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,948.54 / $2,935.61 / $4,014.92	Facility		$1,948.54	$2,935.61	$4,014.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,948.54 / $2,712.49 / $3,488.92	Professional		$1,948.54	$2,712.49	$3,488.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,604.10 / $2,181.55 / $2,550.08	Professional		$1,604.10	$2,181.55	$2,550.08
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 $1,243.04 / $2,283.12 / $3,551.52	Professional		$1,243.04	$2,283.12	$3,551.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,529.80 / $3,095.30 / $3,095.30	Professional		$2,529.80	$3,095.30	$3,095.30