Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,433.05 / $1,433.05 / $4,338.00	Facility		$1,433.05	$1,433.05	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.27 / $1,433.05 / $3,257.56	Professional		$1,152.27	$1,433.05	$3,257.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.53 / $3,050.96 / $3,813.69	Professional		$2,772.53	$3,050.96	$3,813.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,306.25 / $2,208.55 / $3,326.73	Facility		$1,306.25	$2,208.55	$3,326.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,481.03 / $2,512.39 / $9,896.71	Professional		$1,481.03	$2,512.39	$9,896.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,095.00 / $3,279.35 / $5,269.25	Facility		$2,095.00	$3,279.35	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,639.61 / $3,645.01	Professional		$1,500.00	$2,639.61	$3,645.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,375.14 / $2,146.04 / $2,597.94	Professional		$1,375.14	$2,146.04	$2,597.94
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 $1,481.03 / $2,468.38 / $3,660.13	Professional		$1,481.03	$2,468.38	$3,660.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,474.90 / $2,911.60 / $3,028.10	Professional		$2,474.90	$2,911.60	$3,028.10