Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.46 / $1,558.46 / $1,558.46	Facility		$1,558.46	$1,558.46	$1,558.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,448.01 / $1,558.46 / $1,558.46	Professional		$1,448.01	$1,558.46	$1,558.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,022.86 / $3,205.22 / $4,006.52	Professional		$3,022.86	$3,205.22	$4,006.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,933.17 / $2,633.80 / $4,383.60	Facility		$1,933.17	$2,633.80	$4,383.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,738.28 / $3,160.50 / $11,104.24	Professional		$1,738.28	$3,160.50	$11,104.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,037.00 / $3,725.81 / $4,827.27	Facility		$3,037.00	$3,725.81	$4,827.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,779.00 / $3,376.98 / $4,181.06	Professional		$2,779.00	$3,376.98	$4,181.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,088.21 / $2,632.74 / $3,001.62	Professional		$2,088.21	$2,632.74	$3,001.62
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 $1,409.27 / $2,673.13 / $4,158.20	Professional		$1,409.27	$2,673.13	$4,158.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,096.00 / $3,642.40 / $3,788.10	Professional		$3,096.00	$3,642.40	$3,788.10