Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,365.03 / $2,365.03 / $2,365.03	Facility		$2,365.03	$2,365.03	$2,365.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,165.01 / $2,365.03 / $3,448.52	Professional		$2,165.01	$2,365.03	$3,448.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,590.14 / $4,867.04 / $6,083.80	Professional		$4,590.14	$4,867.04	$6,083.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,285.90 / $3,996.90 / $6,143.49	Facility		$2,285.90	$3,996.90	$6,143.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,463.14 / $4,544.08 / $27,409.13	Professional		$2,463.14	$4,544.08	$27,409.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,168.00 / $5,523.01 / $7,187.21	Facility		$4,168.00	$5,523.01	$7,187.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,083.44 / $5,049.45 / $6,253.85	Professional		$4,083.44	$5,049.45	$6,253.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,913.66 / $3,815.21 / $4,488.18	Professional		$2,913.66	$3,815.21	$4,488.18
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 $2,687.06 / $4,478.43 / $6,254.22	Professional		$2,687.06	$4,478.43	$6,254.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,629.39 / $5,446.30 / $5,664.20	Professional		$4,629.39	$5,446.30	$5,664.20