Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,262.44 / $2,262.44 / $2,262.44	Facility		$2,262.44	$2,262.44	$2,262.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,064.73 / $2,262.44 / $2,492.55	Professional		$2,064.73	$2,262.44	$2,492.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,953.47 / $5,438.12 / $6,797.65	Professional		$3,953.47	$5,438.12	$6,797.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,480.62 / $3,823.52 / $6,699.80	Facility		$2,480.62	$3,823.52	$6,699.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,933.45 / $4,889.08 / $18,414.96	Professional		$2,933.45	$4,889.08	$18,414.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,822.13 / $5,720.21 / $7,873.40	Facility		$3,822.13	$5,720.21	$7,873.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,822.13 / $5,598.95 / $6,782.00	Professional		$3,822.13	$5,598.95	$6,782.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,971.25 / $4,314.95 / $4,976.60	Professional		$2,971.25	$4,314.95	$4,976.60
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 $2,933.45 / $4,889.08 / $6,857.34	Professional		$2,933.45	$4,889.08	$6,857.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,937.00 / $6,040.50 / $6,040.50	Professional		$4,937.00	$6,040.50	$6,040.50