Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.58 / $1,622.58 / $4,338.00	Facility		$1,622.58	$1,622.58	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.74 / $1,622.58 / $4,060.43	Professional		$1,317.74	$1,622.58	$4,060.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,220.74 / $3,498.16 / $4,372.70	Professional		$3,220.74	$3,498.16	$4,372.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,515.83 / $2,226.98 / $3,841.03	Facility		$1,515.83	$2,226.98	$3,841.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.04 / $2,798.72 / $11,478.64	Professional		$1,621.04	$2,798.72	$11,478.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,679.91 / $3,890.16 / $5,269.25	Facility		$2,679.91	$3,890.16	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,861.81 / $3,386.43 / $4,166.22	Professional		$2,861.81	$3,386.43	$4,166.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,781.77 / $2,593.85 / $3,010.03	Professional		$1,781.77	$2,593.85	$3,010.03
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 $1,839.66 / $3,928.79 / $4,217.05	Professional		$1,839.66	$3,928.79	$4,217.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,867.40 / $3,373.40 / $3,508.40	Professional		$2,867.40	$3,373.40	$3,508.40