Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,412.94 / $3,412.94 / $3,412.94	Facility		$3,412.94	$3,412.94	$3,412.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,795.35 / $3,412.94 / $10,325.50	Professional		$2,795.35	$3,412.94	$10,325.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,928.93 / $7,346.91 / $9,183.64	Professional		$6,928.93	$7,346.91	$9,183.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,430.27 / $4,724.14 / $9,451.74	Facility		$3,430.27	$4,724.14	$9,451.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,095.55 / $6,879.54 / $64,914.27	Professional		$4,095.55	$6,879.54	$64,914.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,260.00 / $8,314.82 / $10,847.57	Facility		$5,260.00	$8,314.82	$10,847.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,366.00 / $7,583.65 / $9,348.50	Professional		$4,366.00	$7,583.65	$9,348.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,941.39 / $5,912.31 / $6,740.70	Professional		$3,941.39	$5,912.31	$6,740.70
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 $4,095.55 / $6,825.92 / $9,458.15	Professional		$4,095.55	$6,825.92	$9,458.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,421.30 / $7,554.50 / $7,856.70	Professional		$6,421.30	$7,554.50	$7,856.70