Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.48 / $1,490.48 / $1,490.48	Facility		$1,490.48	$1,490.48	$1,490.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,271.33 / $1,490.48 / $4,823.08	Professional		$1,271.33	$1,490.48	$4,823.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,352.82 / $3,386.78 / $4,191.56	Professional		$3,352.82	$3,386.78	$4,191.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,818.02 / $2,148.56 / $5,210.75	Facility		$1,818.02	$2,148.56	$5,210.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,271.40 / $3,785.66 / $11,601.44	Professional		$2,271.40	$3,785.66	$11,601.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,950.60 / $3,848.22 / $5,057.74	Facility		$2,950.60	$3,848.22	$5,057.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,430.00 / $3,518.17 / $4,325.97	Professional		$2,430.00	$3,518.17	$4,325.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,074.13 / $2,858.58 / $3,359.94	Professional		$2,074.13	$2,858.58	$3,359.94
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 $2,090.98 / $2,816.71 / $4,381.55	Professional		$2,090.98	$2,816.71	$4,381.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,047.60 / $3,585.40 / $3,728.80	Professional		$3,047.60	$3,585.40	$3,728.80