Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,573.40 / $2,573.40 / $2,573.40	Facility		$2,573.40	$2,573.40	$2,573.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,325.87 / $2,573.40 / $2,826.96	Professional		$2,325.87	$2,573.40	$2,826.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,446.81 / $6,116.71 / $7,645.89	Professional		$4,446.81	$6,116.71	$7,645.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,731.18 / $4,349.05 / $7,522.88	Facility		$2,731.18	$4,349.05	$7,522.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,244.08 / $5,497.68 / $20,730.64	Professional		$3,244.08	$5,497.68	$20,730.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,292.35 / $6,461.64 / $8,994.44	Facility		$4,292.35	$6,461.64	$8,994.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,201.00 / $6,298.36 / $7,727.18	Professional		$4,201.00	$6,298.36	$7,727.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,532.70 / $4,853.37 / $5,598.27	Professional		$3,532.70	$4,853.37	$5,598.27
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 $3,027.48 / $4,998.24 / $7,775.04	Professional		$3,027.48	$4,998.24	$7,775.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,553.70 / $6,795.10 / $6,795.10	Professional		$5,553.70	$6,795.10	$6,795.10