Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,611.55 / $2,611.55 / $2,611.55	Facility		$2,611.55	$2,611.55	$2,611.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,200.61 / $2,611.55 / $4,985.89	Professional		$2,200.61	$2,611.55	$4,985.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,414.60 / $5,924.28 / $7,405.35	Professional		$4,414.60	$5,924.28	$7,405.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,437.39 / $4,317.49 / $5,517.35	Facility		$3,437.39	$4,317.49	$5,517.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,453.60 / $4,675.70 / $19,546.00	Professional		$2,453.60	$4,675.70	$19,546.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,359.10 / $5,893.36 / $8,206.04	Facility		$3,359.10	$5,893.36	$8,206.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,359.10 / $5,042.79 / $7,131.77	Professional		$3,359.10	$5,042.79	$7,131.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,695.05 / $3,897.47 / $5,227.60	Professional		$2,695.05	$3,897.47	$5,227.60
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 $2,359.00 / $4,296.62 / $7,273.31	Professional		$2,359.00	$4,296.62	$7,273.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,186.00 / $6,345.20 / $6,345.20	Professional		$5,186.00	$6,345.20	$6,345.20