Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,306.05 / $2,306.05 / $2,306.05	Facility		$2,306.05	$2,306.05	$2,306.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,109.91 / $2,306.05 / $2,306.05	Professional		$2,109.91	$2,306.05	$2,306.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,416.72 / $4,683.17 / $5,853.96	Professional		$4,416.72	$4,683.17	$5,853.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,205.96 / $3,565.75 / $6,109.79	Facility		$2,205.96	$3,565.75	$6,109.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,640.79 / $4,401.32 / $16,112.08	Professional		$2,640.79	$4,401.32	$16,112.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,871.14 / $6,051.23 / $7,042.27	Facility		$4,871.14	$6,051.23	$7,042.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,951.02 / $5,170.28 / $7,042.27	Professional		$3,951.02	$5,170.28	$7,042.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,903.16 / $3,797.61 / $4,329.70	Professional		$2,903.16	$3,797.61	$4,329.70
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 $2,640.79 / $4,401.32 / $6,129.79	Professional		$2,640.79	$4,401.32	$6,129.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,465.89 / $5,254.00 / $5,464.20	Professional		$4,465.89	$5,254.00	$5,464.20