Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,420.19 / $2,420.19 / $2,420.19	Facility		$2,420.19	$2,420.19	$2,420.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,241.12 / $2,420.19 / $2,420.19	Professional		$2,241.12	$2,420.19	$2,420.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,692.27 / $4,975.33 / $6,219.17	Professional		$4,692.27	$4,975.33	$6,219.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,345.01 / $3,787.49 / $6,665.29	Facility		$2,345.01	$3,787.49	$6,665.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,692.73 / $4,895.88 / $22,841.74	Professional		$2,692.73	$4,895.88	$22,841.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,321.00 / $5,403.72 / $7,378.05	Facility		$4,321.00	$5,403.72	$7,378.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,955.00 / $5,177.54 / $7,011.64	Professional		$3,955.00	$5,177.54	$7,011.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,862.18 / $4,036.48 / $4,602.05	Professional		$2,862.18	$4,036.48	$4,602.05
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 $2,692.73 / $4,394.27 / $6,424.26	Professional		$2,692.73	$4,394.27	$6,424.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,746.80 / $5,584.50 / $5,807.90	Professional		$4,746.80	$5,584.50	$5,807.90