Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,694.99 / $1,694.99 / $4,338.00	Facility		$1,694.99	$1,694.99	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.75 / $1,694.99 / $2,768.54	Professional		$1,380.75	$1,694.99	$2,768.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,278.75 / $3,608.01 / $4,510.02	Professional		$3,278.75	$3,608.01	$4,510.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.75 / $2,108.17 / $3,900.79	Facility		$1,380.75	$2,108.17	$3,900.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,411.61 / $2,763.68 / $4,640.54	Professional		$1,411.61	$2,763.68	$4,640.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,380.56 / $3,037.48 / $4,034.39	Facility		$2,380.56	$3,037.48	$4,034.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,270.37 / $3,471.22 / $4,207.07	Professional		$2,270.37	$3,471.22	$4,207.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,609.00 / $2,433.94 / $3,024.26	Professional		$1,609.00	$2,433.94	$3,024.26
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 $1,619.54 / $2,944.62 / $4,299.06	Professional		$1,619.54	$2,944.62	$4,299.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,947.30 / $3,606.10 / $3,606.10	Professional		$2,947.30	$3,606.10	$3,606.10