Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,406.19 / $2,406.19 / $4,338.00	Facility		$2,406.19	$2,406.19	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,024.42 / $2,406.19 / $5,874.17	Professional		$2,024.42	$2,406.19	$5,874.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,292.87 / $5,431.89 / $6,789.86	Professional		$4,292.87	$5,431.89	$6,789.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,908.08 / $4,048.84 / $7,025.80	Facility		$2,908.08	$4,048.84	$7,025.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,452.65 / $5,307.56 / $20,967.80	Professional		$2,452.65	$5,307.56	$20,967.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,913.69 / $5,578.25 / $7,636.66	Facility		$3,913.69	$5,578.25	$7,636.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,913.69 / $5,301.82 / $6,625.87	Professional		$3,913.69	$5,301.82	$6,625.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,058.31 / $4,236.78 / $4,830.39	Professional		$3,058.31	$4,236.78	$4,830.39
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 $2,780.15 / $5,054.82 / $6,784.96	Professional		$2,780.15	$5,054.82	$6,784.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,791.89 / $5,863.10 / $5,863.10	Professional		$4,791.89	$5,863.10	$5,863.10