Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,499.80 / $2,499.80 / $2,499.80	Facility		$2,499.80	$2,499.80	$2,499.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,266.87 / $2,499.80 / $2,769.26	Professional		$2,266.87	$2,499.80	$2,769.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,322.76 / $5,946.09 / $7,432.61	Professional		$4,322.76	$5,946.09	$7,432.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,673.03 / $3,831.01 / $7,526.31	Facility		$2,673.03	$3,831.01	$7,526.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,988.25 / $5,433.18 / $20,305.84	Professional		$2,988.25	$5,433.18	$20,305.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,259.42 / $6,365.91 / $8,754.58	Facility		$4,259.42	$6,365.91	$8,754.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,047.00 / $6,157.15 / $7,544.62	Professional		$3,047.00	$6,157.15	$7,544.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,315.94 / $4,800.20 / $5,472.77	Professional		$3,315.94	$4,800.20	$5,472.77
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 $3,250.77 / $5,433.18 / $7,614.43	Professional		$3,250.77	$5,433.18	$7,614.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,429.20 / $6,642.80 / $6,642.80	Professional		$5,429.20	$6,642.80	$6,642.80