Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.13 / $1,777.13 / $4,338.00	Facility		$1,777.13	$1,777.13	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,438.82 / $1,777.13 / $4,478.28	Professional		$1,438.82	$1,777.13	$4,478.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,537.79 / $3,807.46 / $4,759.33	Professional		$3,537.79	$3,807.46	$4,759.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,642.51 / $2,431.61 / $4,189.04	Facility		$1,642.51	$2,431.61	$4,189.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,786.97 / $3,094.98 / $12,494.88	Professional		$1,786.97	$3,094.98	$12,494.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,949.48 / $4,288.31 / $5,269.25	Facility		$2,949.48	$4,288.31	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,117.19 / $3,671.73 / $4,546.95	Professional		$3,117.19	$3,671.73	$4,546.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,957.36 / $2,830.92 / $3,263.61	Professional		$1,957.36	$2,830.92	$3,263.61
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 $1,856.99 / $4,348.99 / $4,644.05	Professional		$1,856.99	$4,348.99	$4,644.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,109.00 / $3,657.60 / $3,803.90	Professional		$3,109.00	$3,657.60	$3,803.90