Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.56 / $1,093.56 / $4,338.00	Facility		$1,093.56	$1,093.56	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.96 / $1,093.56 / $3,393.93	Professional		$1,017.96	$1,093.56	$3,393.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,660.09 / $2,672.31 / $3,340.39	Professional		$2,660.09	$2,672.31	$3,340.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,455.68 / $1,848.12 / $3,207.88	Facility		$1,455.68	$1,848.12	$3,207.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,419.96 / $2,366.60 / $9,012.79	Professional		$1,419.96	$2,366.60	$9,012.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,853.75 / $2,991.98 / $3,781.31	Facility		$1,853.75	$2,991.98	$3,781.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,965.00 / $2,660.09 / $3,279.91	Professional		$1,965.00	$2,660.09	$3,279.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,472.88 / $2,009.88 / $2,364.42	Professional		$1,472.88	$2,009.88	$2,364.42
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 $1,556.09 / $2,559.19 / $3,364.73	Professional		$1,556.09	$2,559.19	$3,364.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,304.30 / $2,710.90 / $2,819.40	Professional		$2,304.30	$2,710.90	$2,819.40