Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,042.28 / $2,042.28 / $2,042.28	Facility		$2,042.28	$2,042.28	$2,042.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,653.47 / $2,042.28 / $5,579.79	Professional		$1,653.47	$2,042.28	$5,579.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,232.85 / $4,381.66 / $5,477.07	Professional		$4,232.85	$4,381.66	$5,477.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,901.68 / $2,794.36 / $5,157.91	Facility		$1,901.68	$2,794.36	$5,157.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,356.21 / $3,927.02 / $14,379.20	Professional		$2,356.21	$3,927.02	$14,379.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,025.14 / $4,770.41 / $6,031.75	Facility		$3,025.14	$4,770.41	$6,031.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,734.00 / $4,232.85 / $5,235.12	Professional		$2,734.00	$4,232.85	$5,235.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,217.58 / $3,268.27 / $3,762.37	Professional		$2,217.58	$3,268.27	$3,762.37
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 $2,356.21 / $3,872.00 / $5,415.31	Professional		$2,356.21	$3,872.00	$5,415.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,584.10 / $4,216.60 / $4,385.30	Professional		$3,584.10	$4,216.60	$4,385.30