Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,206.23 / $2,206.23 / $2,206.23	Facility		$2,206.23	$2,206.23	$2,206.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.26 / $2,206.23 / $2,206.23	Professional		$2,041.26	$2,206.23	$2,206.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,295.49 / $4,554.62 / $5,693.27	Professional		$4,295.49	$4,554.62	$5,693.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,127.19 / $3,449.73 / $5,604.19	Facility		$2,127.19	$3,449.73	$5,604.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,249.48 / $4,190.88 / $15,445.92	Professional		$2,249.48	$4,190.88	$15,445.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,540.00 / $4,807.62 / $6,686.65	Facility		$2,540.00	$4,807.62	$6,686.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,559.00 / $4,702.30 / $5,790.29	Professional		$2,559.00	$4,702.30	$5,790.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,365.35 / $3,615.23 / $4,179.62	Professional		$2,365.35	$3,615.23	$4,179.62
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 $2,453.98 / $4,269.00 / $5,768.81	Professional		$2,453.98	$4,269.00	$5,768.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,311.10 / $5,071.89 / $5,274.80	Professional		$4,311.10	$5,071.89	$5,274.80