Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.53 / $1,597.53 / $1,597.53	Facility		$1,597.53	$1,597.53	$1,597.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,342.12 / $1,597.53 / $4,654.99	Professional		$1,342.12	$1,597.53	$4,654.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,553.83 / $3,662.55 / $4,578.18	Professional		$3,553.83	$3,662.55	$4,578.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,895.72 / $2,268.17 / $4,396.62	Facility		$1,895.72	$2,268.17	$4,396.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,968.89 / $3,281.48 / $12,116.64	Professional		$1,968.89	$3,281.48	$12,116.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,536.00 / $4,020.54 / $5,054.60	Facility		$2,536.00	$4,020.54	$5,054.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,463.00 / $3,553.83 / $4,395.63	Professional		$2,463.00	$3,553.83	$4,395.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,033.90 / $2,770.61 / $3,158.81	Professional		$2,033.90	$2,770.61	$3,158.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,431.04 / $3,261.50 / $4,510.93	Professional		$1,431.04	$3,261.50	$4,510.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,078.50 / $3,621.70 / $3,766.60	Professional		$3,078.50	$3,621.70	$3,766.60