Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.32 / $1,545.32 / $1,545.32	Facility		$1,545.32	$1,545.32	$1,545.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.55 / $1,545.32 / $4,910.77	Professional		$1,322.55	$1,545.32	$4,910.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,270.20 / $3,562.05 / $4,452.56	Professional		$3,270.20	$3,562.05	$4,452.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,713.67 / $2,235.11 / $3,666.72	Facility		$1,713.67	$2,235.11	$3,666.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.17 / $2,797.20 / $12,026.40	Professional		$1,548.17	$2,797.20	$12,026.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,017.60 / $3,759.64 / $5,235.02	Facility		$2,017.60	$3,759.64	$5,235.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,377.00 / $3,270.20 / $4,584.18	Professional		$2,377.00	$3,270.20	$4,584.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,924.61 / $2,660.22 / $3,352.88	Professional		$1,924.61	$2,660.22	$3,352.88
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 $1,699.24 / $3,433.28 / $4,351.20	Professional		$1,699.24	$3,433.28	$4,351.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,326.20 / $3,913.20 / $4,069.70	Professional		$3,326.20	$3,913.20	$4,069.70