Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,954.70 / $1,954.70 / $1,954.70	Facility		$1,954.70	$1,954.70	$1,954.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.43 / $1,954.70 / $2,145.33	Professional		$1,767.43	$1,954.70	$2,145.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,383.67 / $4,654.34 / $5,817.93	Professional		$3,383.67	$4,654.34	$5,817.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,065.19 / $3,200.02 / $6,006.29	Facility		$2,065.19	$3,200.02	$6,006.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,302.14 / $4,031.92 / $17,956.93	Professional		$2,302.14	$4,031.92	$17,956.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,247.39 / $4,905.78 / $6,804.52	Facility		$3,247.39	$4,905.78	$6,804.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,247.39 / $4,773.62 / $5,847.62	Professional		$3,247.39	$4,773.62	$5,847.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,695.09 / $3,668.60 / $4,243.02	Professional		$2,695.09	$3,668.60	$4,243.02
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 $2,499.17 / $3,795.55 / $5,904.19	Professional		$2,499.17	$3,795.55	$5,904.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,209.20 / $5,150.10 / $5,150.10	Professional		$4,209.20	$5,150.10	$5,150.10