Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.68 / $1,255.68 / $1,255.68	Facility		$1,255.68	$1,255.68	$1,255.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.05 / $1,255.68 / $3,101.68	Professional		$1,014.05	$1,255.68	$3,101.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,507.59 / $2,673.09 / $3,341.37	Professional		$2,507.59	$2,673.09	$3,341.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,214.24 / $1,887.21 / $2,946.26	Facility		$1,214.24	$1,887.21	$2,946.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,331.42 / $2,219.04 / $8,776.24	Professional		$1,331.42	$2,219.04	$8,776.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,826.00 / $3,009.41 / $5,269.25	Facility		$1,826.00	$3,009.41	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,549.00 / $2,569.12 / $3,200.64	Professional		$1,549.00	$2,569.12	$3,200.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,346.48 / $1,934.98 / $2,283.56	Professional		$1,346.48	$1,934.98	$2,283.56
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 $1,331.42 / $2,039.87 / $3,173.13	Professional		$1,331.42	$2,039.87	$3,173.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,175.40 / $2,559.30 / $2,661.60	Professional		$2,175.40	$2,559.30	$2,661.60