Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,916.47 / $1,916.47 / $1,916.47	Facility		$1,916.47	$1,916.47	$1,916.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,733.62 / $1,916.47 / $2,105.91	Professional		$1,733.62	$1,916.47	$2,105.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,315.71 / $4,560.85 / $5,701.06	Professional		$3,315.71	$4,560.85	$5,701.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,238.83 / $5,615.70	Facility		$2,000.00	$3,238.83	$5,615.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,397.09 / $4,078.00 / $15,454.88	Professional		$2,397.09	$4,078.00	$15,454.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,185.78 / $4,819.89 / $6,698.13	Facility		$3,185.78	$4,819.89	$6,698.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,065.00 / $4,698.64 / $5,756.35	Professional		$3,065.00	$4,698.64	$5,756.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,329.94 / $3,623.35 / $4,176.39	Professional		$2,329.94	$3,623.35	$4,176.39
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 $2,242.90 / $4,281.89 / $5,791.91	Professional		$2,242.90	$4,281.89	$5,791.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,143.10 / $5,069.30 / $5,069.30	Professional		$4,143.10	$5,069.30	$5,069.30