Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,579.11 / $1,579.11 / $1,579.11	Facility		$1,579.11	$1,579.11	$1,579.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,456.44 / $1,579.11 / $1,579.11	Professional		$1,456.44	$1,579.11	$1,579.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,048.58 / $3,232.49 / $4,040.61	Professional		$3,048.58	$3,232.49	$4,040.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,776.37 / $2,461.38 / $4,199.56	Facility		$1,776.37	$2,461.38	$4,199.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,662.87 / $3,075.24 / $18,937.84	Professional		$1,662.87	$3,075.24	$18,937.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,156.00 / $3,562.09 / $4,838.75	Facility		$2,156.00	$3,562.09	$4,838.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,145.00 / $3,361.68 / $4,213.85	Professional		$2,145.00	$3,361.68	$4,213.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,001.04 / $2,620.82 / $2,988.03	Professional		$2,001.04	$2,620.82	$2,988.03
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 $1,814.04 / $2,708.42 / $4,213.10	Professional		$1,814.04	$2,708.42	$4,213.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,082.00 / $3,625.90 / $3,771.00	Professional		$3,082.00	$3,625.90	$3,771.00