Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.73 / $1,471.73 / $1,471.73	Facility		$1,471.73	$1,471.73	$1,471.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.19 / $1,471.73 / $4,779.16	Professional		$1,259.19	$1,471.73	$4,779.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,382.42 / $3,406.49 / $4,228.57	Professional		$3,382.42	$3,406.49	$4,228.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,800.64 / $2,487.21 / $4,163.72	Facility		$1,800.64	$2,487.21	$4,163.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,811.98 / $3,127.31 / $12,721.76	Professional		$1,811.98	$3,127.31	$12,721.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,685.00 / $4,294.72 / $5,406.84	Facility		$2,685.00	$4,294.72	$5,406.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,477.00 / $3,491.65 / $4,401.63	Professional		$2,477.00	$3,491.65	$4,401.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,066.34 / $2,802.37 / $3,213.80	Professional		$2,066.34	$2,802.37	$3,213.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,811.98 / $3,019.96 / $4,187.82	Professional		$1,811.98	$3,019.96	$4,187.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,188.20 / $3,750.80 / $3,900.90	Professional		$3,188.20	$3,750.80	$3,900.90