Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.73 / $1,176.73 / $4,338.00	Facility		$1,176.73	$1,176.73	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,095.53 / $1,176.73 / $3,662.94	Professional		$1,095.53	$1,176.73	$3,662.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,862.43 / $2,875.66 / $3,594.57	Professional		$2,862.43	$2,875.66	$3,594.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,566.61 / $1,988.67 / $3,461.66	Facility		$1,566.61	$1,988.67	$3,461.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,530.70 / $2,551.16 / $9,704.08	Professional		$1,530.70	$2,551.16	$9,704.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,998.95 / $3,221.52 / $4,070.18	Facility		$1,998.95	$3,221.52	$4,070.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,134.00 / $2,862.43 / $3,530.91	Professional		$2,134.00	$2,862.43	$3,530.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,598.18 / $2,162.98 / $2,544.26	Professional		$1,598.18	$2,162.98	$2,544.26
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 $1,530.70 / $2,624.38 / $3,626.14	Professional		$1,530.70	$2,624.38	$3,626.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,479.50 / $2,917.10 / $3,033.80	Professional		$2,479.50	$2,917.10	$3,033.80