Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.13 / $1,112.13 / $1,112.13	Facility		$1,112.13	$1,112.13	$1,112.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.64 / $1,112.13 / $3,565.51	Professional		$1,031.64	$1,112.13	$3,565.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,705.22 / $2,768.14 / $3,460.18	Professional		$2,705.22	$2,768.14	$3,460.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,475.25 / $1,879.50 / $3,448.56	Facility		$1,475.25	$1,879.50	$3,448.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,478.53 / $2,464.21 / $12,343.06	Professional		$1,478.53	$2,464.21	$12,343.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,932.08 / $3,062.71 / $3,782.36	Facility		$1,932.08	$3,062.71	$3,782.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,283.27 / $2,705.22 / $3,281.11	Professional		$2,283.27	$2,705.22	$3,281.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,543.93 / $2,082.92 / $2,404.53	Professional		$1,543.93	$2,082.92	$2,404.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,598.10 / $3,309.45 / $3,457.64	Professional		$1,598.10	$3,309.45	$3,457.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,343.40 / $2,756.90 / $2,867.20	Professional		$2,343.40	$2,756.90	$2,867.20