Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.30 / $1,421.30 / $4,338.00	Facility		$1,421.30	$1,421.30	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.70 / $1,421.30 / $2,315.53	Professional		$1,156.70	$1,421.30	$2,315.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,743.50 / $3,019.01 / $3,773.77	Professional		$2,743.50	$3,019.01	$3,773.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,156.70 / $1,661.60 / $3,204.15	Facility		$1,156.70	$1,661.60	$3,204.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,170.28 / $2,292.92 / $3,837.79	Professional		$1,170.28	$2,292.92	$3,837.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,380.56 / $2,777.32 / $3,295.44	Facility		$2,380.56	$2,777.32	$3,295.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,874.71 / $2,858.63 / $3,522.51	Professional		$1,874.71	$2,858.63	$3,522.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,329.06 / $2,001.11 / $2,526.79	Professional		$1,329.06	$2,001.11	$2,526.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,339.38 / $2,293.42 / $3,566.78	Professional		$1,339.38	$2,293.42	$3,566.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,462.50 / $3,013.00 / $3,013.00	Professional		$2,462.50	$3,013.00	$3,013.00