Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,239.27 / $3,239.27 / $3,239.27	Facility		$3,239.27	$3,239.27	$3,239.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,713.09 / $3,239.27 / $7,782.95	Professional		$2,713.09	$3,239.27	$7,782.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,579.22 / $7,262.77 / $9,078.45	Professional		$5,579.22	$7,262.77	$9,078.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,262.89 / $5,242.62 / $8,517.50	Facility		$4,262.89	$5,242.62	$8,517.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,008.53 / $6,842.26 / $24,103.04	Professional		$3,008.53	$6,842.26	$24,103.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,045.38 / $7,407.46 / $10,240.62	Facility		$5,045.38	$7,407.46	$10,240.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,045.38 / $6,546.09 / $8,856.11	Professional		$5,045.38	$6,546.09	$8,856.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,069.60 / $5,503.20 / $6,413.37	Professional		$4,069.60	$5,503.20	$6,413.37
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 $3,584.04 / $6,414.76 / $9,003.01	Professional		$3,584.04	$6,414.76	$9,003.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,362.30 / $7,784.50 / $7,784.50	Professional		$6,362.30	$7,784.50	$7,784.50