Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.97 / $1,630.97 / $1,630.97	Facility		$1,630.97	$1,630.97	$1,630.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.70 / $1,630.97 / $2,086.42	Professional		$1,395.70	$1,630.97	$2,086.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,750.89 / $3,753.15 / $4,689.21	Professional		$3,750.89	$3,753.15	$4,689.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.85 / $2,742.79 / $4,159.97	Facility		$1,995.85	$2,742.79	$4,159.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,975.51 / $3,455.80 / $12,731.92	Professional		$1,975.51	$3,455.80	$12,731.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,389.42 / $3,427.13 / $5,563.52	Facility		$2,389.42	$3,427.13	$5,563.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,757.00 / $3,790.97 / $4,867.62	Professional		$2,757.00	$3,790.97	$4,867.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,019.34 / $3,022.25 / $3,555.36	Professional		$2,019.34	$3,022.25	$3,555.36
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 $1,975.51 / $3,292.52 / $4,634.53	Professional		$1,975.51	$3,292.52	$4,634.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,527.10 / $4,149.50 / $4,315.50	Professional		$3,527.10	$4,149.50	$4,315.50