Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,677.03 / $2,677.03 / $2,677.03	Facility		$2,677.03	$2,677.03	$2,677.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,252.61 / $2,677.03 / $6,517.65	Professional		$2,252.61	$2,677.03	$6,517.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,589.26 / $6,047.37 / $7,559.22	Professional		$4,589.26	$6,047.37	$7,559.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,235.87 / $4,435.78 / $5,748.94	Facility		$3,235.87	$4,435.78	$5,748.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,484.27 / $4,825.30 / $20,077.91	Professional		$2,484.27	$4,825.30	$20,077.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,546.46 / $6,084.36 / $8,471.98	Facility		$3,546.46	$6,084.36	$8,471.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,546.46 / $5,174.64 / $7,354.87	Professional		$3,546.46	$5,174.64	$7,354.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,820.85 / $3,998.75 / $5,363.45	Professional		$2,820.85	$3,998.75	$5,363.45
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 $2,457.82 / $4,516.85 / $7,506.02	Professional		$2,457.82	$4,516.85	$7,506.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,320.70 / $6,510.10 / $6,510.10	Professional		$5,320.70	$6,510.10	$6,510.10