Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,670.41 / $1,670.41 / $4,338.00	Facility		$1,670.41	$1,670.41	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.72 / $1,670.41 / $4,434.60	Professional		$1,350.72	$1,670.41	$4,434.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,377.03 / $3,581.52 / $4,476.89	Professional		$3,377.03	$3,581.52	$4,476.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,825.96 / $2,822.99 / $3,943.31	Facility		$1,825.96	$2,822.99	$3,943.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,647.68 / $2,883.45 / $11,748.16	Professional		$1,647.68	$2,883.45	$11,748.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,696.00 / $3,895.30 / $5,269.25	Facility		$2,696.00	$3,895.30	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,286.00 / $3,377.03 / $4,317.56	Professional		$2,286.00	$3,377.03	$4,317.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,733.39 / $2,486.46 / $3,103.18	Professional		$1,733.39	$2,486.46	$3,103.18
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 $1,647.68 / $2,883.45 / $4,413.92	Professional		$1,647.68	$2,883.45	$4,413.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,956.20 / $3,477.80 / $3,616.90	Professional		$2,956.20	$3,477.80	$3,616.90