Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.12 / $1,548.12 / $1,548.12	Facility		$1,548.12	$1,548.12	$1,548.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,394.24 / $1,548.12 / $4,742.09	Professional		$1,394.24	$1,548.12	$4,742.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,577.84 / $3,656.32 / $4,570.39	Professional		$3,577.84	$3,656.32	$4,570.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,993.76 / $2,616.32 / $4,434.59	Facility		$1,993.76	$2,616.32	$4,434.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,970.03 / $3,283.38 / $14,877.05	Professional		$1,970.03	$3,283.38	$14,877.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,575.82 / $4,052.51 / $5,007.68	Facility		$2,575.82	$4,052.51	$5,007.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,799.00 / $3,577.84 / $4,341.58	Professional		$2,799.00	$3,577.84	$4,341.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,079.31 / $2,757.11 / $3,180.16	Professional		$2,079.31	$2,757.11	$3,180.16
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 $2,113.92 / $3,426.99 / $4,599.35	Professional		$2,113.92	$3,426.99	$4,599.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,154.80 / $3,711.60 / $3,860.00	Professional		$3,154.80	$3,711.60	$3,860.00