Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.15 / $1,436.15 / $1,436.15	Facility		$1,436.15	$1,436.15	$1,436.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.97 / $1,436.15 / $4,627.07	Professional		$1,331.97	$1,436.15	$4,627.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,494.16 / $3,571.39 / $4,464.24	Professional		$3,494.16	$3,571.39	$4,464.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,904.72 / $2,251.03 / $4,311.85	Facility		$1,904.72	$2,251.03	$4,311.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,943.15 / $3,238.58 / $11,913.92	Professional		$1,943.15	$3,238.58	$11,913.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,537.76 / $3,958.69 / $4,890.88	Facility		$2,537.76	$3,958.69	$4,890.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,665.00 / $3,494.16 / $4,241.89	Professional		$2,665.00	$3,494.16	$4,241.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,014.44 / $2,680.52 / $3,105.77	Professional		$2,014.44	$2,680.52	$3,105.77
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 $2,136.50 / $3,176.96 / $4,477.79	Professional		$2,136.50	$3,176.96	$4,477.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,026.80 / $3,560.90 / $3,703.30	Professional		$3,026.80	$3,560.90	$3,703.30