Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.03 / $1,555.03 / $1,555.03	Facility		$1,555.03	$1,555.03	$1,555.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,330.00 / $1,555.03 / $5,011.79	Professional		$1,330.00	$1,555.03	$5,011.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,575.61 / $3,579.56 / $4,470.09	Professional		$3,575.61	$3,579.56	$4,470.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,901.90 / $2,247.69 / $4,367.70	Facility		$1,901.90	$2,247.69	$4,367.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,777.36 / $3,110.37 / $14,521.57	Professional		$1,777.36	$3,110.37	$14,521.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,301.05 / $4,012.36 / $5,301.78	Facility		$2,301.05	$4,012.36	$5,301.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,399.00 / $3,669.05 / $4,639.42	Professional		$2,399.00	$3,669.05	$4,639.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,169.69 / $2,938.71 / $3,388.46	Professional		$2,169.69	$2,938.71	$3,388.46
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 $1,777.36 / $2,962.26 / $4,409.75	Professional		$1,777.36	$2,962.26	$4,409.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,361.50 / $3,954.70 / $4,112.89	Professional		$3,361.50	$3,954.70	$4,112.89