Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,790.12 / $2,790.12 / $2,790.12	Facility		$2,790.12	$2,790.12	$2,790.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,335.77 / $2,790.12 / $6,628.33	Professional		$2,335.77	$2,790.12	$6,628.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,790.99 / $6,236.70 / $7,795.87	Professional		$4,790.99	$6,236.70	$7,795.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,701.07 / $4,685.35 / $6,822.62	Facility		$3,701.07	$4,685.35	$6,822.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,819.12 / $5,623.67 / $32,079.30	Professional		$2,819.12	$5,623.67	$32,079.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,186.06 / $6,512.62 / $8,653.43	Facility		$4,186.06	$6,512.62	$8,653.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,186.06 / $5,912.10 / $7,476.01	Professional		$4,186.06	$5,912.10	$7,476.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,380.28 / $4,623.01 / $5,438.49	Professional		$3,380.28	$4,623.01	$5,438.49
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 $2,819.12 / $5,355.88 / $7,765.74	Professional		$2,819.12	$5,355.88	$7,765.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,395.20 / $6,601.20 / $6,601.20	Professional		$5,395.20	$6,601.20	$6,601.20