Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,568.80 / $2,568.80 / $2,568.80	Facility		$2,568.80	$2,568.80	$2,568.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,160.96 / $2,568.80 / $6,257.82	Professional		$2,160.96	$2,568.80	$6,257.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,455.83 / $5,800.40 / $7,250.50	Professional		$4,455.83	$5,800.40	$7,250.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,104.23 / $4,257.67 / $6,890.54	Facility		$3,104.23	$4,257.67	$6,890.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,611.02 / $5,392.86 / $19,269.12	Professional		$2,611.02	$5,392.86	$19,269.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,990.06 / $5,980.72 / $8,137.22	Facility		$3,990.06	$5,980.72	$8,137.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,990.06 / $5,523.16 / $7,061.83	Professional		$3,990.06	$5,523.16	$7,061.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,254.69 / $4,452.45 / $5,148.68	Professional		$3,254.69	$4,452.45	$5,148.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,824.83 / $5,136.06 / $7,211.29	Professional		$2,824.83	$5,136.06	$7,211.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,107.70 / $6,249.40 / $6,249.40	Professional		$5,107.70	$6,249.40	$6,249.40