Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,195.96 / $2,195.96 / $2,195.96	Facility		$2,195.96	$2,195.96	$2,195.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,988.78 / $2,195.96 / $2,409.90	Professional		$1,988.78	$2,195.96	$2,409.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,808.47 / $5,238.67 / $6,548.34	Professional		$3,808.47	$5,238.67	$6,548.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,309.31 / $3,711.17 / $6,432.51	Facility		$2,309.31	$3,711.17	$6,432.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,672.39 / $4,655.82 / $17,744.64	Professional		$2,672.39	$4,655.82	$17,744.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,640.95 / $5,507.84 / $7,676.29	Facility		$3,640.95	$5,507.84	$7,676.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,441.00 / $5,403.89 / $6,605.45	Professional		$3,441.00	$5,403.89	$6,605.45
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,669.82 / $4,149.59 / $4,803.22	Professional		$2,669.82	$4,149.59	$4,803.22
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 $2,560.69 / $4,655.82 / $6,625.95	Professional		$2,560.69	$4,655.82	$6,625.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,765.00 / $5,830.10 / $5,830.10	Professional		$4,765.00	$5,830.10	$5,830.10