Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.72 / $2,630.72 / $2,630.72	Facility		$2,630.72	$2,630.72	$2,630.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,428.78 / $2,630.72 / $2,630.72	Professional		$2,428.78	$2,630.72	$2,630.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,102.28 / $5,410.07 / $6,762.59	Professional		$5,102.28	$5,410.07	$6,762.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,524.81 / $4,104.64 / $6,892.93	Facility		$2,524.81	$4,104.64	$6,892.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,747.32 / $5,052.17 / $23,438.00	Professional		$2,747.32	$5,052.17	$23,438.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,499.00 / $5,857.85 / $7,984.99	Facility		$4,499.00	$5,857.85	$7,984.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,456.00 / $5,582.21 / $6,972.41	Professional		$3,456.00	$5,582.21	$6,972.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,276.82 / $4,351.96 / $4,961.72	Professional		$3,276.82	$4,351.96	$4,961.72
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 $2,747.32 / $4,995.12 / $6,945.93	Professional		$2,747.32	$4,995.12	$6,945.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,117.80 / $6,020.90 / $6,261.80	Professional		$5,117.80	$6,020.90	$6,261.80