Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,443.15 / $2,443.15 / $4,338.00	Facility		$2,443.15	$2,443.15	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,055.33 / $2,443.15 / $5,966.35	Professional		$2,055.33	$2,443.15	$5,966.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,235.58 / $5,513.69 / $6,892.11	Professional		$4,235.58	$5,513.69	$6,892.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,590.13 / $3,654.69 / $6,621.72	Facility		$2,590.13	$3,654.69	$6,621.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,248.56 / $5,132.89 / $18,356.48	Professional		$2,248.56	$5,132.89	$18,356.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,803.23 / $5,640.88 / $7,759.73	Facility		$3,803.23	$5,640.88	$7,759.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,934.59 / $5,244.86 / $6,731.56	Professional		$2,934.59	$5,244.86	$6,731.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,539.85 / $4,278.39 / $4,905.43	Professional		$2,539.85	$4,278.39	$4,905.43
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 $2,248.56 / $4,433.63 / $6,896.76	Professional		$2,248.56	$4,433.63	$6,896.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,866.39 / $5,954.20 / $5,954.20	Professional		$4,866.39	$5,954.20	$5,954.20