Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.86 / $1,212.86 / $3,511.00	Facility		$1,212.86	$1,212.86	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.18 / $1,212.86 / $3,010.25	Professional		$1,029.18	$1,212.86	$3,010.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,148.62 / $2,796.97 / $3,496.21	Professional		$2,148.62	$2,796.97	$3,496.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,631.93 / $2,049.75 / $3,350.08	Facility		$1,631.93	$2,049.75	$3,350.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,197.68 / $2,633.46 / $9,269.60	Professional		$1,197.68	$2,633.46	$9,269.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,945.26 / $3,074.28 / $7,260.61	Facility		$1,945.26	$3,074.28	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,945.26 / $2,647.54 / $3,394.00	Professional		$1,945.26	$2,647.54	$3,394.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,562.65 / $2,119.46 / $2,478.27	Professional		$1,562.65	$2,119.46	$2,478.27
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 $1,379.43 / $2,470.88 / $3,461.30	Professional		$1,379.43	$2,470.88	$3,461.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,458.50 / $3,008.10 / $3,008.10	Professional		$2,458.50	$3,008.10	$3,008.10