Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.58 / $1,560.58 / $4,338.00	Facility		$1,560.58	$1,560.58	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,299.25 / $1,560.58 / $4,265.66	Professional		$1,299.25	$1,560.58	$4,265.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,394.54 / $3,564.38 / $4,455.47	Professional		$3,394.54	$3,564.38	$4,455.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,554.83 / $2,637.38 / $4,317.87	Facility		$1,554.83	$2,637.38	$4,317.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,812.06 / $3,020.10 / $11,588.56	Professional		$1,812.06	$3,020.10	$11,588.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,571.00 / $4,075.74 / $5,269.25	Facility		$2,571.00	$4,075.74	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,037.00 / $3,405.35 / $4,237.09	Professional		$2,037.00	$3,405.35	$4,237.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,844.09 / $2,572.98 / $3,026.85	Professional		$1,844.09	$2,572.98	$3,026.85
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 $1,812.06 / $3,124.36 / $4,242.59	Professional		$1,812.06	$3,124.36	$4,242.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,949.90 / $3,470.40 / $3,609.20	Professional		$2,949.90	$3,470.40	$3,609.20