Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.24 / $1,778.24 / $4,338.00	Facility		$1,778.24	$1,778.24	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,439.41 / $1,778.24 / $4,672.99	Professional		$1,439.41	$1,778.24	$4,672.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,673.19 / $3,809.02 / $4,761.27	Professional		$3,673.19	$3,809.02	$4,761.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,643.16 / $2,432.60 / $4,191.50	Facility		$1,643.16	$2,432.60	$4,191.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,881.66 / $3,265.82 / $12,499.76	Professional		$1,881.66	$3,265.82	$12,499.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,102.59 / $4,454.47 / $5,269.25	Facility		$3,102.59	$4,454.47	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,133.64 / $3,788.43 / $4,549.35	Professional		$3,133.64	$3,788.43	$4,549.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,048.17 / $2,843.55 / $3,264.90	Professional		$2,048.17	$2,843.55	$3,264.90
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 $1,796.20 / $2,986.13 / $4,645.09	Professional		$1,796.20	$2,986.13	$4,645.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,110.20 / $3,659.10 / $3,805.40	Professional		$3,110.20	$3,659.10	$3,805.40