Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.89 / $1,570.89 / $1,570.89	Facility		$1,570.89	$1,570.89	$1,570.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,344.83 / $1,570.89 / $4,144.08	Professional		$1,344.83	$1,570.89	$4,144.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,777.64 / $3,615.80 / $4,519.75	Professional		$2,777.64	$3,615.80	$4,519.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,654.80 / $4,424.54	Facility		$2,000.00	$2,654.80	$4,424.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,598.77 / $3,342.86 / $12,265.60	Professional		$1,598.77	$3,342.86	$12,265.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,462.29 / $3,699.28 / $5,355.97	Facility		$2,462.29	$3,699.28	$5,355.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,462.29 / $3,593.80 / $4,636.43	Professional		$2,462.29	$3,593.80	$4,636.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,114.10 / $2,976.43 / $3,424.04	Professional		$2,114.10	$2,976.43	$3,424.04
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 $1,751.02 / $2,866.16 / $4,458.47	Professional		$1,751.02	$2,866.16	$4,458.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,396.80 / $4,156.10 / $4,156.10	Professional		$3,396.80	$4,156.10	$4,156.10