Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,025.72 / $2,025.72 / $4,338.00	Facility		$2,025.72	$2,025.72	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.92 / $2,025.72 / $4,942.45	Professional		$1,704.92	$2,025.72	$4,942.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,516.79 / $4,577.99 / $5,722.49	Professional		$3,516.79	$4,577.99	$5,722.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,677.37 / $3,423.47 / $5,467.13	Facility		$2,677.37	$3,423.47	$5,467.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,217.10 / $4,238.51 / $15,208.80	Professional		$2,217.10	$4,238.51	$15,208.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,137.88 / $4,745.16 / $6,420.72	Facility		$3,137.88	$4,745.16	$6,420.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,137.88 / $4,541.27 / $5,571.40	Professional		$3,137.88	$4,541.27	$5,571.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,291.66 / $3,532.84 / $4,065.77	Professional		$2,291.66	$3,532.84	$4,065.77
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,217.10 / $3,666.96 / $5,704.16	Professional		$2,217.10	$3,666.96	$5,704.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,033.40 / $4,935.00 / $4,935.00	Professional		$4,033.40	$4,935.00	$4,935.00