Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.68 / $1,368.68 / $4,338.00	Facility		$1,368.68	$1,368.68	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.45 / $1,368.68 / $3,497.45	Professional		$1,105.45	$1,368.68	$3,497.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,788.66 / $2,930.20 / $3,662.74	Professional		$2,788.66	$2,930.20	$3,662.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,253.66 / $2,024.18 / $3,199.36	Facility		$1,253.66	$2,024.18	$3,199.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,483.27 / $2,472.12 / $9,540.16	Professional		$1,483.27	$2,472.12	$9,540.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,002.00 / $3,304.29 / $5,269.25	Facility		$2,002.00	$3,304.29	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,922.00 / $2,805.66 / $3,478.07	Professional		$1,922.00	$2,805.66	$3,478.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,489.62 / $2,119.86 / $2,493.80	Professional		$1,489.62	$2,119.86	$2,493.80
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 $1,621.97 / $2,595.73 / $3,538.67	Professional		$1,621.97	$2,595.73	$3,538.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,375.60 / $2,794.90 / $2,906.70	Professional		$2,375.60	$2,794.90	$2,906.70