Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,122.04 / $2,122.04 / $2,122.04	Facility		$2,122.04	$2,122.04	$2,122.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,964.78 / $2,122.04 / $3,088.92	Professional		$1,964.78	$2,122.04	$3,088.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,113.27 / $4,361.39 / $5,451.75	Professional		$4,113.27	$4,361.39	$5,451.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,054.00 / $3,320.48 / $5,550.08	Facility		$2,054.00	$3,320.48	$5,550.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,357.98 / $4,287.24 / $24,205.00	Professional		$2,357.98	$4,287.24	$24,205.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,722.00 / $4,960.17 / $6,464.53	Facility		$3,722.00	$4,960.17	$6,464.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,665.63 / $4,535.62 / $5,629.09	Professional		$3,665.63	$4,535.62	$5,629.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,590.52 / $3,426.98 / $4,031.48	Professional		$2,590.52	$3,426.98	$4,031.48
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 $2,357.98 / $3,619.40 / $5,630.18	Professional		$2,357.98	$3,619.40	$5,630.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,158.30 / $4,892.10 / $5,087.80	Professional		$4,158.30	$4,892.10	$5,087.80