Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.22 / $1,220.22 / $4,338.00	Facility		$1,220.22	$1,220.22	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.38 / $1,220.22 / $3,477.61	Professional		$1,022.38	$1,220.22	$3,477.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,696.49 / $2,787.62 / $3,484.52	Professional		$2,696.49	$2,787.62	$3,484.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,462.00 / $2,062.17 / $3,421.91	Facility		$1,462.00	$2,062.17	$3,421.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,399.45 / $2,354.16 / $14,283.70	Professional		$1,399.45	$2,354.16	$14,283.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,091.00 / $3,253.31 / $5,269.25	Facility		$2,091.00	$3,253.31	$5,269.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,947.00 / $2,696.49 / $3,349.56	Professional		$1,947.00	$2,696.49	$3,349.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,528.78 / $2,075.96 / $2,396.76	Professional		$1,528.78	$2,075.96	$2,396.76
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 $1,399.45 / $2,332.42 / $3,413.62	Professional		$1,399.45	$2,332.42	$3,413.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,335.80 / $2,748.00 / $2,857.90	Professional		$2,335.80	$2,748.00	$2,857.90