Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,657.06 / $2,657.06 / $2,657.06	Facility		$2,657.06	$2,657.06	$2,657.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,433.38 / $2,657.06 / $2,657.06	Professional		$2,433.38	$2,657.06	$2,657.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,111.09 / $5,419.42 / $6,774.27	Professional		$5,111.09	$5,419.42	$6,774.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,529.46 / $4,112.41 / $6,924.84	Facility		$2,529.46	$4,112.41	$6,924.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,760.96 / $5,152.99 / $18,490.64	Professional		$2,760.96	$5,152.99	$18,490.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,849.00 / $5,892.17 / $8,046.48	Facility		$2,849.00	$5,892.17	$8,046.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,670.00 / $5,592.40 / $6,967.84	Professional		$2,670.00	$5,592.40	$6,967.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,619.48 / $4,359.89 / $4,970.78	Professional		$2,619.48	$4,359.89	$4,970.78
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 $2,760.96 / $5,270.92 / $7,081.28	Professional		$2,760.96	$5,270.92	$7,081.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,127.10 / $6,031.90 / $6,273.20	Professional		$5,127.10	$6,031.90	$6,273.20