Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,180.55 / $2,180.55 / $2,180.55	Facility		$2,180.55	$2,180.55	$2,180.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,020.49 / $2,180.55 / $3,182.62	Professional		$2,020.49	$2,180.55	$3,182.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,235.24 / $4,490.72 / $5,613.42	Professional		$4,235.24	$4,490.72	$5,613.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,106.25 / $3,414.63 / $5,660.01	Facility		$2,106.25	$3,414.63	$5,660.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,268.77 / $4,182.87 / $27,293.42	Professional		$2,268.77	$4,182.87	$27,293.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,881.00 / $5,089.84 / $6,617.82	Facility		$3,881.00	$5,089.84	$6,617.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,764.28 / $4,653.54 / $5,758.42	Professional		$3,764.28	$4,653.54	$5,758.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,647.57 / $3,627.96 / $4,136.28	Professional		$2,647.57	$3,627.96	$4,136.28
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 $2,268.77 / $4,125.04 / $5,760.52	Professional		$2,268.77	$4,125.04	$5,760.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,266.39 / $5,019.30 / $5,220.10	Professional		$4,266.39	$5,019.30	$5,220.10