Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,097.67 / $2,097.67 / $2,097.67	Facility		$2,097.67	$2,097.67	$2,097.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.83 / $2,097.67 / $5,777.10	Professional		$1,704.83	$2,097.67	$5,777.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,388.60 / $4,503.97 / $5,629.97	Professional		$4,388.60	$4,503.97	$5,629.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,990.78 / $2,883.56 / $5,451.96	Facility		$1,990.78	$2,883.56	$5,451.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,419.39 / $4,032.32 / $14,927.92	Professional		$2,419.39	$4,032.32	$14,927.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,127.20 / $4,954.57 / $6,229.88	Facility		$3,127.20	$4,954.57	$6,229.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,601.00 / $4,388.60 / $5,417.67	Professional		$2,601.00	$4,388.60	$5,417.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,470.58 / $3,421.42 / $3,900.81	Professional		$2,470.58	$3,421.42	$3,900.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,419.39 / $4,216.59 / $5,581.60	Professional		$2,419.39	$4,216.59	$5,581.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,716.00 / $4,371.80 / $4,546.60	Professional		$3,716.00	$4,371.80	$4,546.60