Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.30 / $1,149.30 / $3,511.00	Facility		$1,149.30	$1,149.30	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.27 / $1,149.30 / $1,251.75	Professional		$1,040.27	$1,149.30	$1,251.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.43 / $2,744.77 / $3,430.96	Professional		$1,995.43	$2,744.77	$3,430.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,270.27 / $2,080.54 / $3,528.64	Facility		$1,270.27	$2,080.54	$3,528.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,370.45 / $2,352.62 / $9,854.73	Professional		$1,370.45	$2,352.62	$9,854.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,898.22 / $2,852.93 / $3,988.86	Facility		$1,898.22	$2,852.93	$3,988.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,898.22 / $2,811.49 / $3,434.83	Professional		$1,898.22	$2,811.49	$3,434.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,588.43 / $2,149.06 / $2,498.96	Professional		$1,588.43	$2,149.06	$2,498.96
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 $1,370.45 / $2,214.83 / $3,445.29	Professional		$1,370.45	$2,214.83	$3,445.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,479.10 / $3,033.20 / $3,033.20	Professional		$2,479.10	$3,033.20	$3,033.20