Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,973.40 / $1,973.40 / $1,973.40	Facility		$1,973.40	$1,973.40	$1,973.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,790.02 / $1,973.40 / $2,182.96	Professional		$1,790.02	$1,973.40	$2,182.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,415.39 / $4,697.97 / $5,872.47	Professional		$3,415.39	$4,697.97	$5,872.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,151.52 / $3,335.05 / $6,214.02	Facility		$2,151.52	$3,335.05	$6,214.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,702.41 / $4,353.79 / $16,020.08	Professional		$2,702.41	$4,353.79	$16,020.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,528.60 / $5,029.02 / $6,900.43	Facility		$3,528.60	$5,029.02	$6,900.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,509.00 / $4,856.58 / $5,947.31	Professional		$3,509.00	$4,856.58	$5,947.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,747.87 / $3,786.26 / $4,316.76	Professional		$2,747.87	$3,786.26	$4,316.76
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 $2,702.41 / $3,859.65 / $6,003.90	Professional		$2,702.41	$3,859.65	$6,003.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,282.39 / $5,239.60 / $5,239.60	Professional		$4,282.39	$5,239.60	$5,239.60