Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,195.75 / $2,195.75 / $2,195.75	Facility		$2,195.75	$2,195.75	$2,195.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,033.79 / $2,195.75 / $2,195.75	Professional		$2,033.79	$2,195.75	$2,195.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,264.63 / $4,521.89 / $5,652.37	Professional		$4,264.63	$4,521.89	$5,652.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,121.86 / $3,437.11 / $5,697.59	Facility		$2,121.86	$3,437.11	$5,697.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,283.83 / $4,210.91 / $19,176.00	Professional		$2,283.83	$4,210.91	$19,176.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,359.03 / $4,869.27 / $6,665.79	Facility		$3,359.03	$4,869.27	$6,665.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.00 / $4,687.74 / $5,799.39	Professional		$2,511.00	$4,687.74	$5,799.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,715.92 / $3,654.62 / $4,166.68	Professional		$2,715.92	$3,654.62	$4,166.68
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 $2,283.83 / $3,728.02 / $5,799.14	Professional		$2,283.83	$3,728.02	$5,799.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,297.80 / $5,056.20 / $5,258.40	Professional		$4,297.80	$5,056.20	$5,258.40