Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.45 / $1,698.45 / $1,698.45	Facility		$1,698.45	$1,698.45	$1,698.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,453.14 / $1,698.45 / $4,482.25	Professional		$1,453.14	$1,698.45	$4,482.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,999.68 / $3,904.85 / $4,881.06	Professional		$2,999.68	$3,904.85	$4,881.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,087.44 / $2,870.38 / $4,781.87	Facility		$2,087.44	$2,870.38	$4,781.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,717.74 / $3,600.66 / $13,260.16	Professional		$1,717.74	$3,600.66	$13,260.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,654.18 / $4,001.75 / $5,797.11	Facility		$2,654.18	$4,001.75	$5,797.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,654.18 / $3,892.32 / $5,018.01	Professional		$2,654.18	$3,892.32	$5,018.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,307.13 / $3,217.79 / $3,702.86	Professional		$2,307.13	$3,217.79	$3,702.86
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 $1,886.06 / $3,172.01 / $4,820.68	Professional		$1,886.06	$3,172.01	$4,820.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,673.40 / $4,494.50 / $4,494.50	Professional		$3,673.40	$4,494.50	$4,494.50