Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.92 / $1,677.92 / $1,677.92	Facility		$1,677.92	$1,677.92	$1,677.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.63 / $1,677.92 / $5,122.72	Professional		$1,462.63	$1,677.92	$5,122.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,892.25 / $3,940.69 / $4,925.85	Professional		$3,892.25	$3,940.69	$4,925.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,091.56 / $2,835.68 / $4,699.68	Facility		$2,091.56	$2,835.68	$4,699.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,100.48 / $3,500.82 / $23,475.40	Professional		$2,100.48	$3,500.82	$23,475.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,714.37 / $4,309.60 / $5,458.21	Facility		$2,714.37	$4,309.60	$5,458.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,827.00 / $3,892.25 / $4,747.52	Professional		$2,827.00	$3,892.25	$4,747.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,218.79 / $2,982.23 / $3,459.62	Professional		$2,218.79	$2,982.23	$3,459.62
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 $2,100.48 / $3,500.82 / $4,898.21	Professional		$2,100.48	$3,500.82	$4,898.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,170.70 / $3,730.20 / $3,879.40	Professional		$3,170.70	$3,730.20	$3,879.40