Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,829.98 / $1,829.98 / $4,338.00	Facility		$1,829.98	$1,829.98	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.41 / $1,829.98 / $5,272.36	Professional		$1,536.41	$1,829.98	$5,272.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,074.21 / $4,191.56 / $5,239.45	Professional		$4,074.21	$4,191.56	$5,239.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,197.07 / $3,092.67 / $4,976.10	Facility		$2,197.07	$3,092.67	$4,976.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,215.94 / $3,693.24 / $14,283.70	Professional		$2,215.94	$3,693.24	$14,283.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,861.15 / $4,610.81 / $5,804.41	Facility		$2,861.15	$4,610.81	$5,804.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,882.00 / $4,074.21 / $5,046.56	Professional		$2,882.00	$4,074.21	$5,046.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,265.77 / $3,145.84 / $3,621.35	Professional		$2,265.77	$3,145.84	$3,621.35
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 $2,428.69 / $4,616.55 / $5,152.70	Professional		$2,428.69	$4,616.55	$5,152.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,529.20 / $4,152.00 / $4,318.10	Professional		$3,529.20	$4,152.00	$4,318.10