Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,297.29 / $2,297.29 / $2,297.29	Facility		$2,297.29	$2,297.29	$2,297.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,134.19 / $2,297.29 / $2,297.29	Professional		$2,134.19	$2,297.29	$2,297.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,452.00 / $4,720.57 / $5,900.71	Professional		$4,452.00	$4,720.57	$5,900.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,261.15 / $3,606.78 / $6,242.53	Facility		$2,261.15	$3,606.78	$6,242.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,469.76 / $4,475.58 / $23,688.62	Professional		$2,469.76	$4,475.58	$23,688.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,312.00 / $5,173.14 / $7,127.76	Facility		$4,312.00	$5,173.14	$7,127.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,946.00 / $4,981.77 / $6,699.93	Professional		$3,946.00	$4,981.77	$6,699.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,899.70 / $3,883.85 / $4,428.03	Professional		$2,899.70	$3,883.85	$4,428.03
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 $2,685.35 / $4,475.58 / $6,140.54	Professional		$2,685.35	$4,475.58	$6,140.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,567.30 / $5,373.30 / $5,588.30	Professional		$4,567.30	$5,373.30	$5,588.30