Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,562.64 / $1,562.64 / $4,338.00	Facility		$1,562.64	$1,562.64	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.33 / $1,562.64 / $3,810.93	Professional		$1,315.33	$1,562.64	$3,810.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,714.20 / $3,533.22 / $4,416.52	Professional		$2,714.20	$3,533.22	$4,416.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,064.48 / $2,590.04 / $4,002.80	Facility		$2,064.48	$2,590.04	$4,002.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,562.16 / $3,085.01 / $11,728.96	Professional		$1,562.16	$3,085.01	$11,728.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,292.64 / $3,635.03 / $4,949.30	Facility		$2,292.64	$3,635.03	$4,949.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,292.64 / $3,243.12 / $4,295.95	Professional		$2,292.64	$3,243.12	$4,295.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,838.94 / $2,606.17 / $3,135.52	Professional		$1,838.94	$2,606.17	$3,135.52
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,615.96 / $2,824.87 / $4,394.24	Professional		$1,615.96	$2,824.87	$4,394.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,110.60 / $3,805.90 / $3,805.90	Professional		$3,110.60	$3,805.90	$3,805.90