Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.56 / $1,200.56 / $4,338.00	Facility		$1,200.56	$1,200.56	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.00 / $1,200.56 / $2,910.70	Professional		$1,011.00	$1,200.56	$2,910.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,090.56 / $2,721.40 / $3,401.75	Professional		$2,090.56	$2,721.40	$3,401.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,579.58 / $1,984.23 / $3,182.05	Facility		$1,579.58	$1,984.23	$3,182.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,186.14 / $2,477.79 / $8,976.48	Professional		$1,186.14	$2,477.79	$8,976.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,828.32 / $2,750.03 / $3,775.05	Facility		$1,828.32	$2,750.03	$3,775.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,828.32 / $2,541.54 / $3,268.53	Professional		$1,828.32	$2,541.54	$3,268.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,502.77 / $2,039.58 / $2,399.35	Professional		$1,502.77	$2,039.58	$2,399.35
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 $1,186.14 / $2,182.82 / $3,336.98	Professional		$1,186.14	$2,182.82	$3,336.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,380.30 / $2,912.30 / $2,912.30	Professional		$2,380.30	$2,912.30	$2,912.30