Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.13 / $1,432.13 / $4,338.00	Facility		$1,432.13	$1,432.13	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,206.33 / $1,432.13 / $2,804.40	Professional		$1,206.33	$1,432.13	$2,804.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,490.96 / $3,242.61 / $4,053.27	Professional		$2,490.96	$3,242.61	$4,053.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,887.76 / $2,369.98 / $3,851.70	Facility		$1,887.76	$2,369.98	$3,851.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,411.75 / $2,981.27 / $13,557.05	Professional		$1,411.75	$2,981.27	$13,557.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,202.63 / $3,301.40 / $4,516.53	Facility		$2,202.63	$3,301.40	$4,516.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,202.63 / $3,060.40 / $3,923.64	Professional		$2,202.63	$3,060.40	$3,923.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,805.09 / $2,469.33 / $2,868.35	Professional		$1,805.09	$2,469.33	$2,868.35
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 $1,411.75 / $2,574.54 / $4,004.84	Professional		$1,411.75	$2,574.54	$4,004.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,845.50 / $3,481.60 / $3,481.60	Professional		$2,845.50	$3,481.60	$3,481.60