Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.40 / $1,575.40 / $4,338.00	Facility		$1,575.40	$1,575.40	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.46 / $1,575.40 / $4,389.72	Professional		$1,314.46	$1,575.40	$4,389.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,466.49 / $3,603.34 / $4,504.17	Professional		$3,466.49	$3,603.34	$4,504.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,739.25 / $2,662.43 / $4,390.37	Facility		$1,739.25	$2,662.43	$4,390.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,848.52 / $3,080.86 / $11,786.72	Professional		$1,848.52	$3,080.86	$11,786.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,664.00 / $4,185.46 / $5,269.25	Facility		$2,664.00	$4,185.46	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,275.00 / $3,466.49 / $4,303.14	Professional		$2,275.00	$3,466.49	$4,303.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,935.30 / $2,622.50 / $3,081.18	Professional		$1,935.30	$2,622.50	$3,081.18
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 $1,848.52 / $2,787.79 / $4,336.56	Professional		$1,848.52	$2,787.79	$4,336.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,002.80 / $3,532.70 / $3,674.00	Professional		$3,002.80	$3,532.70	$3,674.00