Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,050.39 / $2,050.39 / $2,050.39	Facility		$2,050.39	$2,050.39	$2,050.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.91 / $2,050.39 / $2,050.39	Professional		$1,905.91	$2,050.39	$2,050.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,974.40 / $4,214.14 / $5,267.69	Professional		$3,974.40	$4,214.14	$5,267.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,017.87 / $3,220.99 / $6,308.19	Facility		$2,017.87	$3,220.99	$6,308.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,522.00 / $4,585.46 / $21,123.51	Professional		$2,522.00	$4,585.46	$21,123.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,859.00 / $4,616.53 / $6,361.29	Facility		$3,859.00	$4,616.53	$6,361.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,574.68 / $4,446.10 / $5,979.91	Professional		$3,574.68	$4,446.10	$5,979.91
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,624.63 / $3,559.81 / $4,137.56	Professional		$2,624.63	$3,559.81	$4,137.56
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 $2,639.70 / $4,264.13 / $5,481.31	Professional		$2,639.70	$4,264.13	$5,481.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,076.20 / $4,795.60 / $4,987.39	Professional		$4,076.20	$4,795.60	$4,987.39