Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.53 / $1,905.53 / $1,905.53	Facility		$1,905.53	$1,905.53	$1,905.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.50 / $1,905.53 / $5,840.20	Professional		$1,659.50	$1,905.53	$5,840.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,419.18 / $4,464.24 / $5,580.30	Professional		$4,419.18	$4,464.24	$5,580.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,373.09 / $3,220.35 / $5,364.61	Facility		$2,373.09	$3,220.35	$5,364.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,390.88 / $3,984.80 / $25,823.26	Professional		$2,390.88	$3,984.80	$25,823.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,094.30 / $4,898.32 / $6,221.56	Facility		$3,094.30	$4,898.32	$6,221.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,280.00 / $4,419.18 / $5,403.26	Professional		$3,280.00	$4,419.18	$5,403.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,517.28 / $3,404.03 / $3,927.98	Professional		$2,517.28	$3,404.03	$3,927.98
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 $2,390.88 / $3,984.80 / $5,610.47	Professional		$2,390.88	$3,984.80	$5,610.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,599.90 / $4,235.20 / $4,404.60	Professional		$3,599.90	$4,235.20	$4,404.60