Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.88 / $1,260.88 / $3,511.00	Facility		$1,260.88	$1,260.88	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.69 / $1,260.88 / $3,054.95	Professional		$1,062.69	$1,260.88	$3,054.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,198.89 / $2,862.41 / $3,578.02	Professional		$2,198.89	$2,862.41	$3,578.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,526.55 / $2,082.27 / $3,348.13	Facility		$1,526.55	$2,082.27	$3,348.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.70 / $2,609.57 / $9,423.28	Professional		$1,230.70	$2,609.57	$9,423.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,335.07 / $3,384.64 / $23,530.01	Facility		$2,335.07	$3,384.64	$23,530.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,923.04 / $2,668.67 / $3,434.29	Professional		$1,923.04	$2,668.67	$3,434.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,499.83 / $2,147.32 / $2,519.67	Professional		$1,499.83	$2,147.32	$2,519.67
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 $1,366.92 / $2,248.92 / $3,498.32	Professional		$1,366.92	$2,248.92	$3,498.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,499.60 / $3,058.40 / $3,058.40	Professional		$2,499.60	$3,058.40	$3,058.40