Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.83 / $1,663.83 / $4,338.00	Facility		$1,663.83	$1,663.83	$4,338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.51 / $1,663.83 / $2,662.57	Professional		$1,400.51	$1,663.83	$2,662.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,890.76 / $3,763.05 / $4,703.82	Professional		$2,890.76	$3,763.05	$4,703.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,195.98 / $2,755.87 / $4,497.55	Facility		$2,195.98	$2,755.87	$4,497.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,672.77 / $3,470.21 / $16,935.64	Professional		$1,672.77	$3,470.21	$16,935.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,567.02 / $3,861.66 / $5,257.98	Facility		$2,567.02	$3,861.66	$5,257.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,567.02 / $3,570.70 / $4,567.35	Professional		$2,567.02	$3,570.70	$4,567.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,102.80 / $2,882.43 / $3,336.06	Professional		$2,102.80	$2,882.43	$3,336.06
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 $1,672.77 / $3,057.09 / $4,666.26	Professional		$1,672.77	$3,057.09	$4,666.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,309.50 / $4,049.30 / $4,049.30	Professional		$3,309.50	$4,049.30	$4,049.30