Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,157.37 / $2,157.37 / $2,157.37	Facility		$2,157.37	$2,157.37	$2,157.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,998.49 / $2,157.37 / $2,798.15	Professional		$1,998.49	$2,157.37	$2,798.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,186.01 / $4,438.53 / $5,548.17	Professional		$4,186.01	$4,438.53	$5,548.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,087.63 / $3,377.45 / $5,627.88	Facility		$2,087.63	$3,377.45	$5,627.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,253.28 / $4,155.51 / $20,881.00	Professional		$2,253.28	$4,155.51	$20,881.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,711.00 / $5,009.17 / $6,564.63	Facility		$3,711.00	$5,009.17	$6,564.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,308.00 / $4,610.59 / $5,714.70	Professional		$3,308.00	$4,610.59	$5,714.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,682.17 / $3,594.48 / $4,098.10	Professional		$2,682.17	$3,594.48	$4,098.10
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 $2,253.28 / $3,674.52 / $5,715.92	Professional		$2,253.28	$3,674.52	$5,715.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,227.00 / $4,973.00 / $5,171.89	Professional		$4,227.00	$4,973.00	$5,171.89