Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,408.92 / $2,408.92 / $2,408.92	Facility		$2,408.92	$2,408.92	$2,408.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,010.86 / $2,408.92 / $5,729.88	Professional		$2,010.86	$2,408.92	$5,729.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,160.77 / $5,416.30 / $6,770.38	Professional		$4,160.77	$5,416.30	$6,770.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,888.60 / $3,973.34 / $5,492.13	Facility		$2,888.60	$3,973.34	$5,492.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.62 / $4,374.93 / $18,636.00	Professional		$2,238.62	$4,374.93	$18,636.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,241.36 / $5,489.31 / $7,506.29	Facility		$3,241.36	$5,489.31	$7,506.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,241.36 / $4,601.30 / $6,515.38	Professional		$3,241.36	$4,601.30	$6,515.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,508.69 / $3,524.17 / $4,726.89	Professional		$2,508.69	$3,524.17	$4,726.89
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 $2,181.69 / $4,372.66 / $6,805.46	Professional		$2,181.69	$4,372.66	$6,805.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,689.30 / $5,737.50 / $5,737.50	Professional		$4,689.30	$5,737.50	$5,737.50