Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.94 / $1,523.94 / $1,523.94	Facility		$1,523.94	$1,523.94	$1,523.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.71 / $1,523.94 / $1,670.37	Professional		$1,380.71	$1,523.94	$1,670.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.96 / $3,636.84 / $4,546.05	Professional		$2,643.96	$3,636.84	$4,546.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.62 / $2,575.46 / $4,456.43	Facility		$1,659.62	$2,575.46	$4,456.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,921.74 / $3,239.98 / $12,311.52	Professional		$1,921.74	$3,239.98	$12,311.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,532.03 / $3,816.88 / $5,322.63	Facility		$2,532.03	$3,816.88	$5,322.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,497.00 / $3,745.96 / $4,579.38	Professional		$2,497.00	$3,745.96	$4,579.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,957.65 / $2,874.89 / $3,329.59	Professional		$1,957.65	$2,874.89	$3,329.59
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 $1,781.99 / $3,239.98 / $4,593.57	Professional		$1,781.99	$3,239.98	$4,593.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,303.10 / $4,041.40 / $4,041.40	Professional		$3,303.10	$4,041.40	$4,041.40