Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.33 / $1,151.33 / $1,151.33	Facility		$1,151.33	$1,151.33	$1,151.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.30 / $1,151.33 / $1,254.75	Professional		$1,043.30	$1,151.33	$1,254.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,000.52 / $2,751.78 / $3,439.73	Professional		$2,000.52	$2,751.78	$3,439.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,251.20 / $1,945.76 / $3,540.38	Facility		$1,251.20	$1,945.76	$3,540.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,417.46 / $2,430.21 / $11,807.05	Professional		$1,417.46	$2,430.21	$11,807.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,896.15 / $2,850.34 / $4,004.48	Facility		$1,896.15	$2,850.34	$4,004.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,825.00 / $2,823.84 / $3,446.85	Professional		$1,825.00	$2,823.84	$3,446.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,582.84 / $2,152.54 / $2,509.96	Professional		$1,582.84	$2,152.54	$2,509.96
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 $1,417.46 / $2,219.42 / $3,452.43	Professional		$1,417.46	$2,219.42	$3,452.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,490.00 / $3,046.60 / $3,046.60	Professional		$2,490.00	$3,046.60	$3,046.60