Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,404.97 / $1,404.97 / $4,338.00	Facility		$1,404.97	$1,404.97	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.80 / $1,404.97 / $2,308.53	Professional		$1,151.80	$1,404.97	$2,308.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,749.87 / $3,026.02 / $3,782.53	Professional		$2,749.87	$3,026.02	$3,782.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,151.80 / $1,693.89 / $3,510.44	Facility		$1,151.80	$1,693.89	$3,510.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,223.55 / $2,392.48 / $4,186.17	Professional		$1,223.55	$2,392.48	$4,186.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,475.17 / $3,075.94 / $5,323.55	Facility		$2,475.17	$3,075.94	$5,323.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,050.32 / $3,097.03 / $3,498.49	Professional		$2,050.32	$3,097.03	$3,498.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,434.55 / $2,170.54 / $2,544.90	Professional		$1,434.55	$2,170.54	$2,544.90
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 $1,460.97 / $2,291.10 / $3,721.65	Professional		$1,460.97	$2,291.10	$3,721.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,480.19 / $3,034.60 / $3,034.60	Professional		$2,480.19	$3,034.60	$3,034.60