Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,049.76 / $2,049.76 / $2,049.76	Facility		$2,049.76	$2,049.76	$2,049.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,784.97 / $2,049.76 / $6,293.29	Professional		$1,784.97	$2,049.76	$6,293.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,755.42 / $4,801.59 / $6,001.99	Professional		$4,755.42	$4,801.59	$6,001.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,552.51 / $3,464.09 / $5,781.44	Facility		$2,552.51	$3,464.09	$5,781.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,584.90 / $4,308.16 / $24,606.41	Professional		$2,584.90	$4,308.16	$24,606.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,345.04 / $5,270.83 / $6,696.03	Facility		$3,345.04	$5,270.83	$6,696.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,510.00 / $4,755.42 / $5,814.00	Professional		$3,510.00	$4,755.42	$5,814.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,734.07 / $3,668.02 / $4,226.84	Professional		$2,734.07	$3,668.02	$4,226.84
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 $2,584.90 / $4,308.16 / $6,040.78	Professional		$2,584.90	$4,308.16	$6,040.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,873.80 / $4,557.50 / $4,739.80	Professional		$3,873.80	$4,557.50	$4,739.80