Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.70 / $1,817.70 / $1,817.70	Facility		$1,817.70	$1,817.70	$1,817.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,476.27 / $1,817.70 / $4,774.04	Professional		$1,476.27	$1,817.70	$4,774.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,799.82 / $3,916.54 / $4,895.67	Professional		$3,799.82	$3,916.54	$4,895.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,701.47 / $2,494.90 / $4,313.81	Facility		$1,701.47	$2,494.90	$4,313.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,921.85 / $3,320.94 / $12,882.80	Professional		$1,921.85	$3,320.94	$12,882.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,175.90 / $4,539.76 / $5,374.75	Facility		$3,175.90	$4,539.76	$5,374.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,257.78 / $3,901.27 / $4,677.85	Professional		$3,257.78	$3,901.27	$4,677.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,129.48 / $2,912.55 / $3,377.46	Professional		$2,129.48	$2,912.55	$3,377.46
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 $1,992.56 / $3,459.66 / $4,741.80	Professional		$1,992.56	$3,459.66	$4,741.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,217.40 / $3,785.20 / $3,936.60	Professional		$3,217.40	$3,785.20	$3,936.60