Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,591.45 / $1,591.45 / $1,591.45	Facility		$1,591.45	$1,591.45	$1,591.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.38 / $1,591.45 / $4,767.30	Professional		$1,308.38	$1,591.45	$4,767.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,434.61 / $3,469.40 / $4,293.81	Professional		$3,434.61	$3,469.40	$4,293.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,870.98 / $2,280.28 / $4,337.89	Facility		$1,870.98	$2,280.28	$4,337.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,890.37 / $3,182.06 / $11,708.72	Professional		$1,890.37	$3,182.06	$11,708.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,467.34 / $3,882.82 / $5,043.14	Facility		$2,467.34	$3,882.82	$5,043.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,822.00 / $3,550.93 / $4,348.79	Professional		$2,822.00	$3,550.93	$4,348.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,058.12 / $2,768.34 / $3,156.23	Professional		$2,058.12	$2,768.34	$3,156.23
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 $1,890.37 / $3,150.62 / $4,388.83	Professional		$1,890.37	$3,150.62	$4,388.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,006.70 / $3,537.30 / $3,678.80	Professional		$3,006.70	$3,537.30	$3,678.80