Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,634.80 / $1,634.80 / $27,536.27	Facility		$1,634.80	$1,634.80	$27,536.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,376.55 / $1,634.80 / $3,048.70	Professional		$1,376.55	$1,634.80	$3,048.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,843.47 / $3,701.50 / $4,626.88	Professional		$2,843.47	$3,701.50	$4,626.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,977.41 / $2,729.43 / $4,388.56	Facility		$1,977.41	$2,729.43	$4,388.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,654.47 / $3,355.40 / $12,538.00	Professional		$1,654.47	$3,355.40	$12,538.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,031.02 / $4,413.22 / $8,250.46	Facility		$3,031.02	$4,413.22	$8,250.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,480.23 / $3,483.13 / $4,477.95	Professional		$2,480.23	$3,483.13	$4,477.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,033.28 / $2,813.39 / $3,272.67	Professional		$2,033.28	$2,813.39	$3,272.67
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 $1,482.88 / $2,842.93 / $4,566.74	Professional		$1,482.88	$2,842.93	$4,566.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,246.60 / $3,972.30 / $3,972.30	Professional		$3,246.60	$3,972.30	$3,972.30