Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.64 / $1,454.64 / $1,454.64	Facility		$1,454.64	$1,454.64	$1,454.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,244.42 / $1,454.64 / $4,673.39	Professional		$1,244.42	$1,454.64	$4,673.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,341.51 / $3,346.23 / $4,182.79	Professional		$3,341.51	$3,346.23	$4,182.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,779.52 / $2,431.50 / $4,076.41	Facility		$1,779.52	$2,431.50	$4,076.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,776.74 / $3,067.89 / $12,683.78	Professional		$1,776.74	$3,067.89	$12,683.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,288.35 / $3,751.98 / $4,955.56	Facility		$2,288.35	$3,751.98	$4,955.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,385.00 / $3,425.05 / $4,335.58	Professional		$2,385.00	$3,425.05	$4,335.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,864.63 / $2,742.03 / $3,167.22	Professional		$1,864.63	$2,742.03	$3,167.22
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 $1,776.74 / $2,961.24 / $4,117.68	Professional		$1,776.74	$2,961.24	$4,117.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,142.00 / $3,696.50 / $3,844.30	Professional		$3,142.00	$3,696.50	$3,844.30