Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,265.58 / $2,265.58 / $2,265.58	Facility		$2,265.58	$2,265.58	$2,265.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,096.67 / $2,265.58 / $2,265.58	Professional		$2,096.67	$2,265.58	$2,265.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,411.59 / $4,677.72 / $5,847.15	Professional		$4,411.59	$4,677.72	$5,847.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,184.09 / $3,543.37 / $5,756.18	Facility		$2,184.09	$3,543.37	$5,756.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,311.25 / $4,305.06 / $15,864.88	Professional		$2,311.25	$4,305.06	$15,864.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,228.00 / $4,939.14 / $6,866.00	Facility		$2,228.00	$4,939.14	$6,866.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,120.00 / $4,828.21 / $5,946.02	Professional		$2,120.00	$4,828.21	$5,946.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,288.67 / $3,713.28 / $4,291.53	Professional		$2,288.67	$3,713.28	$4,291.53
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 $1,978.00 / $4,202.28 / $5,925.67	Professional		$1,978.00	$4,202.28	$5,925.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,426.50 / $5,207.70 / $5,416.00	Professional		$4,426.50	$5,207.70	$5,416.00