Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.78 / $1,509.78 / $4,338.00	Facility		$1,509.78	$1,509.78	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.64 / $1,509.78 / $3,484.92	Professional		$1,214.64	$1,509.78	$3,484.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,923.33 / $3,216.90 / $4,021.13	Professional		$2,923.33	$3,216.90	$4,021.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.55 / $2,244.61 / $3,511.82	Facility		$1,380.55	$2,244.61	$3,511.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,384.42 / $2,488.36 / $10,448.87	Professional		$1,384.42	$2,488.36	$10,448.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,129.00 / $3,462.56 / $5,269.25	Facility		$2,129.00	$3,462.56	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,566.00 / $2,785.82 / $3,846.77	Professional		$1,566.00	$2,785.82	$3,846.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,451.39 / $2,218.61 / $2,744.80	Professional		$1,451.39	$2,218.61	$2,744.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,384.42 / $2,488.36 / $3,870.78	Professional		$1,384.42	$2,488.36	$3,870.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,614.69 / $3,076.20 / $3,199.20	Professional		$2,614.69	$3,076.20	$3,199.20