Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.63 / $1,326.63 / $1,326.63	Facility		$1,326.63	$1,326.63	$1,326.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.78 / $1,326.63 / $3,639.73	Professional		$1,071.78	$1,326.63	$3,639.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,662.99 / $2,825.80 / $3,532.24	Professional		$2,662.99	$2,825.80	$3,532.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,331.75 / $2,051.91 / $3,827.19	Facility		$1,331.75	$2,051.91	$3,827.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,791.25 / $2,985.42 / $9,287.68	Professional		$1,791.25	$2,985.42	$9,287.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,273.94 / $3,242.14 / $7,472.83	Facility		$2,273.94	$3,242.14	$7,472.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,692.00 / $2,718.32 / $3,387.99	Professional		$1,692.00	$2,718.32	$3,387.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,475.58 / $2,295.53 / $2,476.40	Professional		$1,475.58	$2,295.53	$2,476.40
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 $1,812.18 / $2,985.42 / $3,363.36	Professional		$1,812.18	$2,985.42	$3,363.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,301.69 / $2,707.90 / $2,816.20	Professional		$2,301.69	$2,707.90	$2,816.20