Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.06 / $1,313.06 / $3,511.00	Facility		$1,313.06	$1,313.06	$3,511.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.50 / $1,313.06 / $3,260.05	Professional		$1,114.50	$1,313.06	$3,260.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,327.57 / $3,029.92 / $3,787.40	Professional		$2,327.57	$3,029.92	$3,787.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,766.68 / $2,219.07 / $3,625.40	Facility		$1,766.68	$2,219.07	$3,625.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,302.73 / $2,917.26 / $10,776.75	Professional		$1,302.73	$2,917.26	$10,776.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,148.98 / $3,328.98 / $7,260.61	Facility		$2,148.98	$3,328.98	$7,260.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,148.98 / $2,866.96 / $3,673.83	Professional		$2,148.98	$2,866.96	$3,673.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,692.04 / $2,301.07 / $2,683.99	Professional		$1,692.04	$2,301.07	$2,683.99
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 $1,218.46 / $2,083.76 / $3,748.08	Professional		$1,218.46	$2,083.76	$3,748.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,662.60 / $3,257.80 / $3,257.80	Professional		$2,662.60	$3,257.80	$3,257.80