Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,178.34 / $2,178.34 / $2,178.34	Facility		$2,178.34	$2,178.34	$2,178.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,996.32 / $2,178.34 / $3,165.88	Professional		$1,996.32	$2,178.34	$3,165.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,217.60 / $4,472.03 / $5,590.04	Professional		$4,217.60	$4,472.03	$5,590.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,110.71 / $3,407.11 / $5,721.66	Facility		$2,110.71	$3,407.11	$5,721.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,429.67 / $4,417.60 / $24,546.00	Professional		$2,429.67	$4,417.60	$24,546.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $4,871.12 / $6,650.15	Facility		$3,696.00	$4,871.12	$6,650.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,638.00 / $4,659.35 / $5,793.94	Professional		$3,638.00	$4,659.35	$5,793.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,712.55 / $3,520.46 / $4,141.45	Professional		$2,712.55	$3,520.46	$4,141.45
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 $2,765.62 / $4,190.68 / $5,789.73	Professional		$2,765.62	$4,190.68	$5,789.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,271.70 / $5,025.60 / $5,226.60	Professional		$4,271.70	$5,025.60	$5,226.60