Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.00 / $2,089.00 / $4,338.00	Facility		$2,089.00	$2,089.00	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,758.23 / $2,089.00 / $5,104.47	Professional		$1,758.23	$2,089.00	$5,104.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,624.52 / $4,718.22 / $5,897.79	Professional		$3,624.52	$4,718.22	$5,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,763.90 / $3,465.89 / $5,711.70	Facility		$2,763.90	$3,465.89	$5,711.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,161.40 / $4,439.63 / $31,286.77	Professional		$2,161.40	$4,439.63	$31,286.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,286.25 / $4,905.56 / $6,634.53	Facility		$3,286.25	$4,905.56	$6,634.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,286.25 / $4,522.74 / $5,752.75	Professional		$3,286.25	$4,522.74	$5,752.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,658.01 / $3,659.32 / $4,197.09	Professional		$2,658.01	$3,659.32	$4,197.09
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,161.40 / $3,911.10 / $5,912.09	Professional		$2,161.40	$3,911.10	$5,912.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,163.70 / $5,094.39 / $5,094.39	Professional		$4,163.70	$5,094.39	$5,094.39