Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.67 / $1,677.67 / $1,677.67	Facility		$1,677.67	$1,677.67	$1,677.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.61 / $1,677.67 / $4,976.52	Professional		$1,375.61	$1,677.67	$4,976.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,612.22 / $3,648.81 / $4,515.85	Professional		$3,612.22	$3,648.81	$4,515.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,685.80 / $2,324.78 / $4,538.33	Facility		$1,685.80	$2,324.78	$4,538.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,980.58 / $3,344.97 / $12,296.88	Professional		$1,980.58	$3,344.97	$12,296.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,583.27 / $4,077.75 / $5,296.55	Facility		$2,583.27	$4,077.75	$5,296.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,690.00 / $3,727.04 / $4,560.17	Professional		$1,690.00	$3,727.04	$4,560.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,001.40 / $2,905.66 / $3,312.77	Professional		$2,001.40	$2,905.66	$3,312.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,980.58 / $3,300.96 / $4,622.63	Professional		$1,980.58	$3,300.96	$4,622.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,155.80 / $3,712.70 / $3,861.20	Professional		$3,155.80	$3,712.70	$3,861.20