Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.88 / $1,366.88 / $1,366.88	Facility		$1,366.88	$1,366.88	$1,366.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.23 / $1,366.88 / $4,417.43	Professional		$1,282.23	$1,366.88	$4,417.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,336.10 / $3,386.75 / $4,233.43	Professional		$3,336.10	$3,386.75	$4,233.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,833.59 / $2,310.03 / $3,934.28	Facility		$1,833.59	$2,310.03	$3,934.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,740.89 / $2,901.48 / $11,648.54	Professional		$1,740.89	$2,901.48	$11,648.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,261.34 / $3,746.39 / $4,690.67	Facility		$2,261.34	$3,746.39	$4,690.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,306.00 / $3,343.50 / $4,072.56	Professional		$2,306.00	$3,343.50	$4,072.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,880.28 / $2,526.23 / $2,971.86	Professional		$1,880.28	$2,526.23	$2,971.86
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,984.97 / $3,626.85 / $4,080.58	Professional		$1,984.97	$3,626.85	$4,080.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,896.30 / $3,407.40 / $3,543.70	Professional		$2,896.30	$3,407.40	$3,543.70