Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.57 / $1,229.57 / $4,338.00	Facility		$1,229.57	$1,229.57	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.54 / $1,229.57 / $1,347.09	Professional		$1,112.54	$1,229.57	$1,347.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,129.66 / $2,929.42 / $3,661.77	Professional		$2,129.66	$2,929.42	$3,661.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,335.28 / $2,077.96 / $3,590.87	Facility		$1,335.28	$2,077.96	$3,590.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,539.61 / $2,617.38 / $9,909.92	Professional		$1,539.61	$2,617.38	$9,909.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,043.31 / $3,070.92 / $4,288.14	Facility		$2,043.31	$3,070.92	$4,288.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,992.00 / $3,013.81 / $3,688.25	Professional		$1,992.00	$3,013.81	$3,688.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,622.14 / $2,316.73 / $2,678.81	Professional		$1,622.14	$2,316.73	$2,678.81
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 $1,539.61 / $2,382.35 / $3,705.88	Professional		$1,539.61	$2,382.35	$3,705.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,657.50 / $3,251.50 / $3,251.50	Professional		$2,657.50	$3,251.50	$3,251.50