Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.64 / $1,289.64 / $1,289.64	Facility		$1,289.64	$1,289.64	$1,289.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.93 / $1,289.64 / $3,087.18	Professional		$1,082.93	$1,289.64	$3,087.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,237.19 / $2,912.28 / $3,640.34	Professional		$2,237.19	$2,912.28	$3,640.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,555.63 / $2,124.41 / $3,278.72	Facility		$1,555.63	$2,124.41	$3,278.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,203.73 / $2,599.11 / $9,568.56	Professional		$1,203.73	$2,599.11	$9,568.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,911.37 / $3,172.33 / $21,963.15	Facility		$1,911.37	$3,172.33	$21,963.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,911.37 / $2,615.33 / $3,489.83	Professional		$1,911.37	$2,615.33	$3,489.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,555.33 / $2,138.39 / $2,550.08	Professional		$1,555.33	$2,138.39	$2,550.08
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 $1,138.08 / $2,268.02 / $3,528.03	Professional		$1,138.08	$2,268.02	$3,528.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,529.80 / $3,095.30 / $3,095.30	Professional		$2,529.80	$3,095.30	$3,095.30