Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.87 / $1,390.87 / $1,390.87	Facility		$1,390.87	$1,390.87	$1,390.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,190.11 / $1,390.87 / $4,464.45	Professional		$1,190.11	$1,390.87	$4,464.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.09 / $3,200.54 / $4,000.68	Professional		$3,187.09	$3,200.54	$4,000.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,701.87 / $2,350.57 / $3,894.50	Facility		$1,701.87	$2,350.57	$3,894.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,692.94 / $2,941.70 / $13,781.76	Professional		$1,692.94	$2,941.70	$13,781.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,181.69 / $3,589.17 / $4,738.64	Facility		$2,181.69	$3,589.17	$4,738.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,281.00 / $3,266.77 / $4,148.22	Professional		$2,281.00	$3,266.77	$4,148.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,922.76 / $2,620.17 / $3,030.73	Professional		$1,922.76	$2,620.17	$3,030.73
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 $1,893.80 / $3,103.72 / $3,946.49	Professional		$1,893.80	$3,103.72	$3,946.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,006.60 / $3,537.20 / $3,678.70	Professional		$3,006.60	$3,537.20	$3,678.70