Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,248.86 / $2,248.86 / $2,248.86	Facility		$2,248.86	$2,248.86	$2,248.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,847.60 / $2,248.86 / $6,789.50	Professional		$1,847.60	$2,248.86	$6,789.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,839.93 / $4,888.95 / $6,050.69	Professional		$4,839.93	$4,888.95	$6,050.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,276.77 / $3,122.44 / $6,169.24	Facility		$2,276.77	$3,122.44	$6,169.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,674.96 / $4,546.08 / $16,579.20	Professional		$2,674.96	$4,546.08	$16,579.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,498.44 / $5,498.45 / $7,161.15	Facility		$3,498.44	$5,498.45	$7,161.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.00 / $5,028.35 / $6,169.50	Professional		$2,570.00	$5,028.35	$6,169.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,785.22 / $3,920.17 / $4,469.43	Professional		$2,785.22	$3,920.17	$4,469.43
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 $2,674.96 / $4,022.93 / $6,257.89	Professional		$2,674.96	$4,022.93	$6,257.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,257.70 / $5,009.00 / $5,209.39	Professional		$4,257.70	$5,009.00	$5,209.39