Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.99 / $1,604.99 / $4,338.00	Facility		$1,604.99	$1,604.99	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.89 / $1,604.99 / $3,906.15	Professional		$1,350.89	$1,604.99	$3,906.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,789.01 / $3,630.61 / $4,538.26	Professional		$2,789.01	$3,630.61	$4,538.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,117.69 / $2,657.88 / $4,333.41	Facility		$2,117.69	$2,657.88	$4,333.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,564.94 / $3,336.40 / $12,029.60	Professional		$1,564.94	$3,336.40	$12,029.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,468.09 / $3,699.79 / $5,068.17	Facility		$2,468.09	$3,699.79	$5,068.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,468.09 / $3,440.78 / $4,405.22	Professional		$2,468.09	$3,440.78	$4,405.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,860.62 / $2,777.42 / $3,215.74	Professional		$1,860.62	$2,777.42	$3,215.74
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 $1,564.94 / $2,891.43 / $4,497.78	Professional		$1,564.94	$2,891.43	$4,497.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,190.10 / $3,903.20 / $3,903.20	Professional		$3,190.10	$3,903.20	$3,903.20