Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.11 / $1,958.11 / $1,958.11	Facility		$1,958.11	$1,958.11	$1,958.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,765.27 / $1,958.11 / $2,122.42	Professional		$1,765.27	$1,958.11	$2,122.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,393.30 / $4,667.59 / $5,834.49	Professional		$3,393.30	$4,667.59	$5,834.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,011.40 / $3,309.21 / $5,768.53	Facility		$2,011.40	$3,309.21	$5,768.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,499.07 / $4,087.41 / $15,578.32	Professional		$2,499.07	$4,087.41	$15,578.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,321.71 / $4,975.82 / $6,468.70	Facility		$3,321.71	$4,975.82	$6,468.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,239.00 / $4,577.10 / $5,612.23	Professional		$3,239.00	$4,577.10	$5,612.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,431.40 / $3,568.38 / $4,068.35	Professional		$2,431.40	$3,568.38	$4,068.35
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 $2,499.07 / $4,255.24 / $5,887.45	Professional		$2,499.07	$4,255.24	$5,887.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,036.00 / $4,938.10 / $4,938.10	Professional		$4,036.00	$4,938.10	$4,938.10