Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,225.50 / $1,225.50 / $4,338.00	Facility		$1,225.50	$1,225.50	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.60 / $1,225.50 / $2,975.60	Professional		$1,031.60	$1,225.50	$2,975.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,132.46 / $2,775.93 / $3,469.92	Professional		$2,132.46	$2,775.93	$3,469.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,481.91 / $1,926.87 / $3,265.96	Facility		$1,481.91	$1,926.87	$3,265.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,153.10 / $2,511.96 / $9,168.87	Professional		$1,153.10	$2,511.96	$9,168.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,855.86 / $2,821.56 / $3,857.43	Facility		$1,855.86	$2,821.56	$3,857.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,855.86 / $2,577.92 / $3,355.05	Professional		$1,855.86	$2,577.92	$3,355.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,499.74 / $2,093.94 / $2,451.75	Professional		$1,499.74	$2,093.94	$2,451.75
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 $1,153.10 / $2,197.75 / $3,418.72	Professional		$1,153.10	$2,197.75	$3,418.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,432.19 / $2,975.90 / $2,975.90	Professional		$2,432.19	$2,975.90	$2,975.90