Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,203.08 / $2,203.08 / $2,203.08	Facility		$2,203.08	$2,203.08	$2,203.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,783.86 / $2,203.08 / $6,040.96	Professional		$1,783.86	$2,203.08	$6,040.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,568.38 / $4,723.68 / $5,904.60	Professional		$4,568.38	$4,723.68	$5,904.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,044.57 / $3,014.72 / $5,577.92	Facility		$2,044.57	$3,014.72	$5,577.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,554.82 / $4,258.04 / $15,524.88	Professional		$2,554.82	$4,258.04	$15,524.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,281.65 / $5,150.72 / $6,513.53	Facility		$3,281.65	$5,150.72	$6,513.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,875.00 / $4,568.38 / $5,650.67	Professional		$2,875.00	$4,568.38	$5,650.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,404.96 / $3,532.84 / $4,060.59	Professional		$2,404.96	$3,532.84	$4,060.59
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 $2,341.92 / $3,762.90 / $5,853.40	Professional		$2,341.92	$3,762.90	$5,853.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,868.20 / $4,550.80 / $4,732.89	Professional		$3,868.20	$4,550.80	$4,732.89