Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.38 / $1,488.38 / $1,488.38	Facility		$1,488.38	$1,488.38	$1,488.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,385.22 / $1,488.38 / $4,739.79	Professional		$1,385.22	$1,488.38	$4,739.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,619.33 / $3,637.62 / $4,547.02	Professional		$3,619.33	$3,637.62	$4,547.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,980.86 / $2,341.02 / $4,547.60	Facility		$1,980.86	$2,341.02	$4,547.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,850.15 / $3,363.90 / $14,703.08	Professional		$1,850.15	$3,363.90	$14,703.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,624.71 / $4,070.49 / $5,143.27	Facility		$2,624.71	$4,070.49	$5,143.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,960.48 / $3,619.33 / $4,460.47	Professional		$2,960.48	$3,619.33	$4,460.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,155.67 / $2,865.15 / $3,217.03	Professional		$2,155.67	$2,865.15	$3,217.03
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 $2,018.34 / $3,316.10 / $4,778.06	Professional		$2,018.34	$3,316.10	$4,778.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,135.20 / $3,688.50 / $3,836.00	Professional		$3,135.20	$3,688.50	$3,836.00