Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.32 / $1,305.32 / $4,338.00	Facility		$1,305.32	$1,305.32	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.36 / $1,305.32 / $1,305.32	Professional		$1,207.36	$1,305.32	$1,305.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,448.23 / $2,483.66 / $3,060.29	Professional		$2,448.23	$2,483.66	$3,060.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,277.09 / $2,040.46 / $3,087.60	Facility		$1,277.09	$2,040.46	$3,087.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,407.27 / $2,558.67 / $25,915.00	Professional		$1,407.27	$2,558.67	$25,915.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,489.56 / $3,018.18 / $3,319.05	Facility		$2,489.56	$3,018.18	$3,319.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,967.00 / $2,800.59 / $3,319.05	Professional		$1,967.00	$2,800.59	$3,319.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,517.85 / $2,200.94 / $2,509.33	Professional		$1,517.85	$2,200.94	$2,509.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,150.00 / $7,150.00 / $7,150.00	Facility		$7,150.00	$7,150.00	$7,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,407.27 / $2,277.56 / $2,657.15	Professional		$1,407.27	$2,277.56	$2,657.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,588.30 / $3,045.00 / $3,166.80	Professional		$2,588.30	$3,045.00	$3,166.80