Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.64 / $1,278.64 / $1,278.64	Facility		$1,278.64	$1,278.64	$1,278.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.14 / $1,278.64 / $3,237.94	Professional		$1,037.14	$1,278.64	$3,237.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,507.03 / $2,758.79 / $3,448.49	Professional		$2,507.03	$2,758.79	$3,448.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,187.31 / $1,752.77 / $3,007.49	Facility		$1,187.31	$1,752.77	$3,007.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,371.24 / $2,285.40 / $8,991.20	Professional		$1,371.24	$2,285.40	$8,991.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,608.00 / $2,726.37 / $3,754.19	Facility		$1,608.00	$2,726.37	$3,754.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,558.00 / $2,371.44 / $3,265.50	Professional		$1,558.00	$2,371.44	$3,265.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,233.10 / $2,001.13 / $2,359.89	Professional		$1,233.10	$2,001.13	$2,359.89
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 $1,371.24 / $2,422.00 / $3,287.37	Professional		$1,371.24	$2,422.00	$3,287.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,248.10 / $2,644.80 / $2,750.60	Professional		$2,248.10	$2,644.80	$2,750.60