Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,473.10 / $3,473.10 / $3,473.10	Facility		$3,473.10	$3,473.10	$3,473.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,144.14 / $3,473.10 / $3,803.02	Professional		$3,144.14	$3,473.10	$3,803.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,027.63 / $8,291.18 / $10,363.98	Professional		$6,027.63	$8,291.18	$10,363.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,693.30 / $5,869.54 / $9,378.15	Facility		$3,693.30	$5,869.54	$9,378.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,204.60 / $7,069.18 / $28,880.07	Professional		$4,204.60	$7,069.18	$28,880.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,541.78 / $8,693.21 / $12,115.64	Facility		$5,541.78	$8,693.21	$12,115.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,541.78 / $8,339.26 / $10,424.60	Professional		$5,541.78	$8,339.26	$10,424.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,219.43 / $5,920.38 / $7,582.31	Professional		$4,219.43	$5,920.38	$7,582.31
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 $4,068.53 / $6,722.46 / $10,457.16	Professional		$4,068.53	$6,722.46	$10,457.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $7,522.00 / $9,203.29 / $9,203.29	Professional		$7,522.00	$9,203.29	$9,203.29