Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.13 / $1,117.13 / $4,338.00	Facility		$1,117.13	$1,117.13	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.81 / $1,372.83 / $4,709.88	Professional		$1,097.81	$1,372.83	$4,709.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,717.60 / $2,730.75 / $3,413.43	Professional		$2,717.60	$2,730.75	$3,413.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,487.21 / $1,887.95 / $3,280.67	Facility		$1,487.21	$1,887.95	$3,280.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,451.39 / $2,420.26 / $9,209.36	Professional		$1,451.39	$2,420.26	$9,209.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,894.95 / $3,057.25 / $3,862.64	Facility		$1,894.95	$3,057.25	$3,862.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,015.00 / $2,717.60 / $3,350.77	Professional		$2,015.00	$2,717.60	$3,350.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,509.62 / $2,053.33 / $2,415.52	Professional		$1,509.62	$2,053.33	$2,415.52
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 $1,330.44 / $2,418.98 / $3,446.60	Professional		$1,330.44	$2,418.98	$3,446.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,354.10 / $2,769.50 / $2,880.30	Professional		$2,354.10	$2,769.50	$2,880.30