Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,281.98 / $2,281.98 / $2,281.98	Facility		$2,281.98	$2,281.98	$2,281.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,849.24 / $2,281.98 / $6,259.53	Professional		$1,849.24	$2,281.98	$6,259.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,744.51 / $4,898.20 / $6,122.75	Professional		$4,744.51	$4,898.20	$6,122.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,123.94 / $3,125.22 / $5,789.60	Facility		$2,123.94	$3,125.22	$5,789.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,638.70 / $4,397.84 / $16,118.24	Professional		$2,638.70	$4,397.84	$16,118.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,395.08 / $5,348.10 / $6,752.34	Facility		$3,395.08	$5,348.10	$6,752.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,024.00 / $4,744.51 / $5,863.23	Professional		$3,024.00	$4,744.51	$5,863.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,492.71 / $3,663.38 / $4,217.14	Professional		$2,492.71	$3,663.38	$4,217.14
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 $2,418.81 / $4,397.84 / $6,061.50	Professional		$2,418.81	$4,397.84	$6,061.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,017.30 / $4,726.30 / $4,915.30	Professional		$4,017.30	$4,726.30	$4,915.30