Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,185.25 / $3,185.25 / $3,185.25	Facility		$3,185.25	$3,185.25	$3,185.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,890.18 / $3,185.25 / $3,481.61	Professional		$2,890.18	$3,185.25	$3,481.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,176.38 / $7,632.06 / $9,540.08	Professional		$6,176.38	$7,632.06	$9,540.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,393.32 / $5,383.07 / $8,757.04	Facility		$3,393.32	$5,383.07	$8,757.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,937.85 / $6,603.78 / $25,728.72	Professional		$3,937.85	$6,603.78	$25,728.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5,167.64 / $7,976.40 / $11,074.90	Facility		$5,167.64	$7,976.40	$11,074.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,671.92 / $7,840.55 / $9,549.08	Professional		$3,671.92	$7,840.55	$9,549.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,981.65 / $5,474.27 / $6,969.05	Professional		$3,981.65	$5,474.27	$6,969.05
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 $3,962.27 / $6,603.78 / $9,576.14	Professional		$3,962.27	$6,603.78	$9,576.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6,913.60 / $8,459.00 / $8,459.00	Professional		$6,913.60	$8,459.00	$8,459.00