Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.92 / $2,147.92 / $2,147.92	Facility		$2,147.92	$2,147.92	$2,147.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,738.61 / $2,147.92 / $5,884.92	Professional		$1,738.61	$2,147.92	$5,884.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,450.47 / $4,604.47 / $5,755.60	Professional		$4,450.47	$4,604.47	$5,755.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,938.25 / $5,433.53	Facility		$2,000.00	$2,938.25	$5,433.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,484.32 / $4,140.54 / $15,123.84	Professional		$2,484.32	$4,140.54	$15,123.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,190.02 / $5,017.51 / $6,346.68	Facility		$3,190.02	$5,017.51	$6,346.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,960.00 / $4,450.47 / $5,507.75	Professional		$2,960.00	$4,450.47	$5,507.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,337.32 / $3,442.33 / $3,955.79	Professional		$2,337.32	$3,442.33	$3,955.79
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 $2,484.32 / $3,666.89 / $5,704.05	Professional		$2,484.32	$3,666.89	$5,704.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,768.40 / $4,433.39 / $4,610.70	Professional		$3,768.40	$4,433.39	$4,610.70