Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,434.33 / $2,434.33 / $2,434.33	Facility		$2,434.33	$2,434.33	$2,434.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,022.89 / $2,434.33 / $5,775.70	Professional		$2,022.89	$2,434.33	$5,775.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,163.17 / $5,419.42 / $6,774.27	Professional		$4,163.17	$5,419.42	$6,774.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,224.21 / $4,141.31 / $6,529.57	Facility		$3,224.21	$4,141.31	$6,529.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,449.48 / $5,151.72 / $19,665.09	Professional		$2,449.48	$5,151.72	$19,665.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,818.44 / $5,694.50 / $7,588.70	Facility		$3,818.44	$5,694.50	$7,588.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,818.44 / $5,161.72 / $6,572.61	Professional		$3,818.44	$5,161.72	$6,572.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,021.89 / $4,159.60 / $4,742.42	Professional		$3,021.89	$4,159.60	$4,742.42
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 $2,698.52 / $4,859.97 / $6,790.42	Professional		$2,698.52	$4,859.97	$6,790.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,704.70 / $5,756.30 / $5,756.30	Professional		$4,704.70	$5,756.30	$5,756.30