Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,547.35 / $2,547.35 / $2,547.35	Facility		$2,547.35	$2,547.35	$2,547.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,113.76 / $2,547.35 / $2,547.35	Professional		$2,113.76	$2,547.35	$2,547.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,892.53 / $4,922.10 / $6,152.64	Professional		$3,892.53	$4,922.10	$6,152.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,557.66 / $3,068.48 / $4,974.93	Facility		$2,557.66	$3,068.48	$4,974.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,382.07 / $1,625.97 / $5,333.18	Professional		$1,382.07	$1,625.97	$5,333.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,251.94 / $3,522.94 / $5,939.10	Facility		$3,251.94	$3,522.94	$5,939.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,251.94 / $4,119.12 / $5,582.50	Professional		$3,251.94	$4,119.12	$5,582.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,875.23 / $6,529.08 / $7,444.77	Professional		$3,875.23	$6,529.08	$7,444.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,625.97 / $3,577.13	Professional		$1,138.18	$1,625.97	$3,577.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,709.95 / $2,709.95	Professional		$2,709.95	$2,709.95	$2,709.95