Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.10 / $1,923.10 / $1,923.10	Facility		$1,923.10	$1,923.10	$1,923.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,614.83 / $1,923.10 / $5,551.65	Professional		$1,614.83	$1,923.10	$5,551.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,285.26 / $4,405.03 / $5,506.29	Professional		$4,285.26	$4,405.03	$5,506.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,309.21 / $3,250.04 / $5,239.21	Facility		$2,309.21	$3,250.04	$5,239.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,328.25 / $3,880.42 / $14,612.80	Professional		$2,328.25	$3,880.42	$14,612.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,008.31 / $4,849.54 / $6,103.71	Facility		$3,008.31	$4,849.54	$6,103.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,022.00 / $4,285.26 / $5,307.18	Professional		$3,022.00	$4,285.26	$5,307.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,431.78 / $3,311.20 / $3,808.95	Professional		$2,431.78	$3,311.20	$3,808.95
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 $2,328.25 / $3,484.89 / $5,420.94	Professional		$2,328.25	$3,484.89	$5,420.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,712.10 / $4,367.10 / $4,541.80	Professional		$3,712.10	$4,367.10	$4,541.80