Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,574.46 / $2,574.46 / $2,574.46	Facility		$2,574.46	$2,574.46	$2,574.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,155.17 / $2,574.46 / $6,111.80	Professional		$2,155.17	$2,574.46	$6,111.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,421.12 / $5,755.21 / $7,194.01	Professional		$4,421.12	$5,755.21	$7,194.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,413.07 / $4,310.34 / $6,536.97	Facility		$3,413.07	$4,310.34	$6,536.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,709.69 / $5,425.71 / $27,619.68	Professional		$2,709.69	$5,425.71	$27,619.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,026.06 / $6,003.76 / $7,979.77	Facility		$4,026.06	$6,003.76	$7,979.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,026.06 / $5,643.34 / $6,895.91	Professional		$4,026.06	$5,643.34	$6,895.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,027.00 / $4,244.01 / $5,016.06	Professional		$3,027.00	$4,244.01	$5,016.06
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 $2,842.04 / $5,167.34 / $7,160.58	Professional		$2,842.04	$5,167.34	$7,160.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,976.10 / $6,088.40 / $6,088.40	Professional		$4,976.10	$6,088.40	$6,088.40