Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,541.14 / $1,541.14 / $1,541.14	Facility		$1,541.14	$1,541.14	$1,541.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.82 / $1,500.06 / $1,541.14	Professional		$1,318.82	$1,500.06	$1,541.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,532.91 / $3,548.80 / $4,436.00	Professional		$3,532.91	$3,548.80	$4,436.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,885.91 / $2,328.67 / $4,308.35	Facility		$1,885.91	$2,328.67	$4,308.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,881.31 / $3,241.48 / $14,280.36	Professional		$1,881.31	$3,241.48	$14,280.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,421.30 / $3,971.78 / $5,234.00	Facility		$2,421.30	$3,971.78	$5,234.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,584.00 / $3,621.23 / $4,585.39	Professional		$2,584.00	$3,621.23	$4,585.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,137.26 / $2,896.36 / $3,350.30	Professional		$2,137.26	$2,896.36	$3,350.30
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 $1,881.31 / $3,135.52 / $4,356.16	Professional		$1,881.31	$3,135.52	$4,356.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,323.60 / $3,910.10 / $4,066.60	Professional		$3,323.60	$3,910.10	$4,066.60