Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,721.53 / $2,721.53 / $4,338.00	Facility		$2,721.53	$2,721.53	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,289.23 / $2,721.53 / $6,651.75	Professional		$2,289.23	$2,721.53	$6,651.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,716.18 / $6,139.31 / $7,674.14	Professional		$4,716.18	$6,139.31	$7,674.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,437.16 / $4,517.37 / $7,392.33	Facility		$3,437.16	$4,517.37	$7,392.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,582.77 / $5,744.99 / $20,458.32	Professional		$2,582.77	$5,744.99	$20,458.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,258.32 / $6,285.34 / $8,654.49	Facility		$4,258.32	$6,285.34	$8,654.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,258.32 / $5,904.26 / $7,503.79	Professional		$4,258.32	$5,904.26	$7,503.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,131.74 / $4,776.21 / $5,467.60	Professional		$3,131.74	$4,776.21	$5,467.60
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 $3,009.28 / $4,945.16 / $7,692.47	Professional		$3,009.28	$4,945.16	$7,692.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,424.10 / $6,636.50 / $6,636.50	Professional		$5,424.10	$6,636.50	$6,636.50