Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,152.62 / $2,152.62 / $2,152.62	Facility		$2,152.62	$2,152.62	$2,152.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,802.03 / $2,152.62 / $5,097.93	Professional		$1,802.03	$2,152.62	$5,097.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,696.93 / $4,812.50 / $6,015.63	Professional		$3,696.93	$4,812.50	$6,015.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,849.65 / $3,620.78 / $6,090.50	Facility		$2,849.65	$3,620.78	$6,090.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,266.96 / $4,327.85 / $22,628.38	Professional		$2,266.96	$4,327.85	$22,628.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,215.86 / $5,008.03 / $6,659.53	Facility		$3,215.86	$5,008.03	$6,659.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,215.86 / $4,647.05 / $5,757.50	Professional		$3,215.86	$4,647.05	$5,757.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,647.13 / $3,672.21 / $4,186.74	Professional		$2,647.13	$3,672.21	$4,186.74
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 $2,266.96 / $3,842.71 / $5,977.55	Professional		$2,266.96	$3,842.71	$5,977.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,153.39 / $5,081.80 / $5,081.80	Professional		$4,153.39	$5,081.80	$5,081.80