Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.10 / $1,009.10 / $4,338.00	Facility		$1,009.10	$1,009.10	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.50 / $1,009.10 / $1,094.97	Professional		$906.50	$1,009.10	$1,094.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,755.27 / $2,414.42 / $3,018.04	Professional		$1,755.27	$2,414.42	$3,018.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,050.91 / $1,813.00 / $3,033.70	Facility		$1,050.91	$1,813.00	$3,033.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,234.30 / $2,057.16 / $11,430.60	Professional		$1,234.30	$2,057.16	$11,430.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,591.60 / $2,627.65 / $7,030.81	Facility		$1,591.60	$2,627.65	$7,030.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,591.60 / $2,368.98 / $2,896.79	Professional		$1,591.60	$2,368.98	$2,896.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,295.00 / $1,814.87 / $2,105.66	Professional		$1,295.00	$1,814.87	$2,105.66
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 $1,131.44 / $1,950.89 / $3,034.72	Professional		$1,131.44	$1,950.89	$3,034.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,088.90 / $2,555.80 / $2,555.80	Professional		$2,088.90	$2,555.80	$2,555.80