Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.40 / $1,506.40 / $1,506.40	Facility		$1,506.40	$1,506.40	$1,506.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.53 / $1,506.40 / $4,837.39	Professional		$1,288.53	$1,506.40	$4,837.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,432.27 / $3,466.22 / $4,332.77	Professional		$3,432.27	$3,466.22	$4,332.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,842.60 / $2,541.82 / $4,216.97	Facility		$1,842.60	$2,541.82	$4,216.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,839.90 / $3,173.38 / $13,695.91	Professional		$1,839.90	$3,173.38	$13,695.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,369.06 / $3,883.40 / $5,126.56	Facility		$2,369.06	$3,883.40	$5,126.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,453.00 / $3,518.08 / $4,486.89	Professional		$2,453.00	$3,518.08	$4,486.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,894.45 / $2,836.02 / $3,276.55	Professional		$1,894.45	$2,836.02	$3,276.55
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 $1,839.90 / $3,066.50 / $4,262.02	Professional		$1,839.90	$3,066.50	$4,262.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,250.50 / $3,824.10 / $3,977.00	Professional		$3,250.50	$3,824.10	$3,977.00