Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,760.59 / $2,760.59 / $2,760.59	Facility		$2,760.59	$2,760.59	$2,760.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,323.17 / $2,760.59 / $6,732.82	Professional		$2,323.17	$2,760.59	$6,732.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,616.64 / $6,235.92 / $7,794.90	Professional		$4,616.64	$6,235.92	$7,794.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,548.05 / $4,576.60 / $6,248.15	Facility		$3,548.05	$4,576.60	$6,248.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,587.40 / $5,014.49 / $20,722.64	Professional		$2,587.40	$5,014.49	$20,722.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,616.64 / $6,281.32 / $8,461.12	Facility		$4,616.64	$6,281.32	$8,461.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,746.19 / $5,339.68 / $7,592.66	Professional		$3,746.19	$5,339.68	$7,592.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,945.20 / $4,679.80 / $5,538.76	Professional		$2,945.20	$4,679.80	$5,538.76
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 $2,529.25 / $4,775.70 / $7,767.09	Professional		$2,529.25	$4,775.70	$7,767.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,494.70 / $6,722.90 / $6,722.90	Professional		$5,494.70	$6,722.90	$6,722.90