Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.38 / $1,268.38 / $3,511.00	Facility		$1,268.38	$1,268.38	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.71 / $1,268.38 / $3,147.55	Professional		$1,075.71	$1,268.38	$3,147.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,246.17 / $2,923.96 / $3,654.95	Professional		$2,246.17	$2,923.96	$3,654.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,623.52 / $2,143.56 / $3,557.17	Facility		$1,623.52	$2,143.56	$3,557.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,224.33 / $2,740.63 / $9,692.08	Professional		$1,224.33	$2,740.63	$9,692.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,025.31 / $3,214.46 / $7,260.61	Facility		$2,025.31	$3,214.46	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,025.31 / $2,771.68 / $3,552.53	Professional		$2,025.31	$2,771.68	$3,552.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,635.50 / $2,258.14 / $2,590.83	Professional		$1,635.50	$2,258.14	$2,590.83
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 $1,435.57 / $2,645.70 / $3,622.33	Professional		$1,435.57	$2,645.70	$3,622.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,570.19 / $3,144.70 / $3,144.70	Professional		$2,570.19	$3,144.70	$3,144.70