Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,156.67 / $3,156.67 / $3,156.67	Facility		$3,156.67	$3,156.67	$3,156.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,857.72 / $3,156.67 / $3,450.27	Professional		$2,857.72	$3,156.67	$3,450.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,481.62 / $7,540.13 / $9,425.16	Professional		$5,481.62	$7,540.13	$9,425.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,313.79 / $5,334.77 / $9,167.74	Facility		$3,313.79	$5,334.77	$9,167.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,827.74 / $6,711.10 / $25,516.11	Professional		$3,827.74	$6,711.10	$25,516.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,237.35 / $7,851.17 / $10,998.78	Facility		$5,237.35	$7,851.17	$10,998.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,960.00 / $7,750.31 / $9,466.20	Professional		$4,960.00	$7,750.31	$9,466.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,793.92 / $5,914.56 / $6,888.84	Professional		$3,793.92	$5,914.56	$6,888.84
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 $3,691.11 / $6,488.46 / $9,489.56	Professional		$3,691.11	$6,488.46	$9,489.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,834.00 / $8,361.60 / $8,361.60	Professional		$6,834.00	$8,361.60	$8,361.60