Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,315.19 / $1,315.19 / $3,511.00	Facility		$1,315.19	$1,315.19	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,115.88 / $1,315.19 / $3,265.15	Professional		$1,115.88	$1,315.19	$3,265.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,329.96 / $3,033.04 / $3,791.30	Professional		$2,329.96	$3,033.04	$3,791.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,769.98 / $2,222.67 / $3,125.13	Facility		$1,769.98	$2,222.67	$3,125.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,344.50 / $2,778.64 / $10,052.56	Professional		$1,344.50	$2,778.64	$10,052.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,053.96 / $3,254.26 / $7,260.61	Facility		$2,053.96	$3,254.26	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,053.96 / $2,736.59 / $3,679.84	Professional		$2,053.96	$2,736.59	$3,679.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,617.94 / $2,284.83 / $2,687.87	Professional		$1,617.94	$2,284.83	$2,687.87
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 $1,344.50 / $2,416.23 / $3,755.50	Professional		$1,344.50	$2,416.23	$3,755.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,666.50 / $3,262.50 / $3,262.50	Professional		$2,666.50	$3,262.50	$3,262.50