Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.46 / $1,438.46 / $1,438.46	Facility		$1,438.46	$1,438.46	$1,438.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.81 / $1,438.46 / $4,549.06	Professional		$1,290.81	$1,438.46	$4,549.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,366.06 / $3,377.63 / $4,208.10	Professional		$3,366.06	$3,377.63	$4,208.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,845.86 / $2,181.46 / $3,863.88	Facility		$1,845.86	$2,181.46	$3,863.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,721.48 / $3,012.60 / $11,364.80	Professional		$1,721.48	$3,012.60	$11,364.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,246.58 / $3,767.49 / $4,906.53	Facility		$2,246.58	$3,767.49	$4,906.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,503.00 / $3,377.63 / $4,225.09	Professional		$2,503.00	$3,377.63	$4,225.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,766.47 / $2,572.36 / $3,076.01	Professional		$1,766.47	$2,572.36	$3,076.01
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 $1,721.48 / $3,012.60 / $4,233.18	Professional		$1,721.48	$3,012.60	$4,233.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,051.50 / $3,590.00 / $3,733.60	Professional		$3,051.50	$3,590.00	$3,733.60