Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,371.92 / $2,371.92 / $2,371.92	Facility		$2,371.92	$2,371.92	$2,371.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,196.32 / $2,371.92 / $2,371.92	Professional		$2,196.32	$2,371.92	$2,371.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,596.75 / $4,874.05 / $6,092.56	Professional		$4,596.75	$4,874.05	$6,092.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,297.56 / $4,008.54 / $6,214.46	Facility		$2,297.56	$4,008.54	$6,214.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,639.08 / $4,798.32 / $32,890.94	Professional		$2,639.08	$4,798.32	$32,890.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,124.00 / $5,546.93 / $7,232.05	Facility		$4,124.00	$5,546.93	$7,232.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,098.70 / $5,072.74 / $6,298.48	Professional		$4,098.70	$5,072.74	$6,298.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,819.33 / $3,832.80 / $4,508.89	Professional		$2,819.33	$3,832.80	$4,508.89
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 $2,639.08 / $4,630.30 / $6,295.21	Professional		$2,639.08	$4,630.30	$6,295.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,650.70 / $5,471.40 / $5,690.30	Professional		$4,650.70	$5,471.40	$5,690.30