Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.33 / $1,289.33 / $4,338.00	Facility		$1,289.33	$1,289.33	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.19 / $1,289.33 / $3,291.47	Professional		$1,098.19	$1,289.33	$3,291.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,281.48 / $2,969.93 / $3,712.41	Professional		$2,281.48	$2,969.93	$3,712.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,731.10 / $2,196.38 / $3,598.61	Facility		$1,731.10	$2,196.38	$3,598.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,341.71 / $2,771.56 / $10,948.48	Professional		$1,341.71	$2,771.56	$10,948.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,043.99 / $3,060.23 / $4,279.79	Facility		$2,043.99	$3,060.23	$4,279.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,043.99 / $2,908.10 / $3,730.28	Professional		$2,043.99	$2,908.10	$3,730.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,717.57 / $2,367.21 / $2,714.39	Professional		$1,717.57	$2,367.21	$2,714.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,451.77 / $2,639.58 / $3,690.06	Professional		$1,451.77	$2,639.58	$3,690.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,692.80 / $3,294.70 / $3,294.70	Professional		$2,692.80	$3,294.70	$3,294.70