Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,541.98 / $1,541.98 / $1,541.98	Facility		$1,541.98	$1,541.98	$1,541.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,388.55 / $1,541.98 / $4,719.46	Professional		$1,388.55	$1,541.98	$4,719.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,562.56 / $3,639.18 / $4,548.97	Professional		$3,562.56	$3,639.18	$4,548.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,597.31 / $2,422.10 / $4,399.47	Facility		$1,597.31	$2,422.10	$4,399.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,970.50 / $3,284.16 / $15,376.51	Professional		$1,970.50	$3,284.16	$15,376.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,576.51 / $4,036.92 / $4,990.99	Facility		$2,576.51	$4,036.92	$4,990.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,893.00 / $3,562.56 / $4,324.77	Professional		$2,893.00	$3,562.56	$4,324.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,055.10 / $2,734.48 / $3,166.58	Professional		$2,055.10	$2,734.48	$3,166.58
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 $1,970.50 / $3,239.54 / $4,566.91	Professional		$1,970.50	$3,239.54	$4,566.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,141.40 / $3,695.70 / $3,843.60	Professional		$3,141.40	$3,695.70	$3,843.60