Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,980.19 / $1,980.19 / $1,980.19	Facility		$1,980.19	$1,980.19	$1,980.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,782.70 / $1,980.19 / $6,070.44	Professional		$1,782.70	$1,980.19	$6,070.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,575.64 / $4,673.04 / $5,841.30	Professional		$4,575.64	$4,673.04	$5,841.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,051.62 / $3,346.52 / $5,659.49	Facility		$2,051.62	$3,346.52	$5,659.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,514.44 / $4,190.74 / $30,415.00	Professional		$2,514.44	$4,190.74	$30,415.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,290.25 / $5,185.24 / $6,414.47	Facility		$3,290.25	$5,185.24	$6,414.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,384.00 / $4,575.64 / $5,555.79	Professional		$3,384.00	$4,575.64	$5,555.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,640.23 / $3,517.17 / $4,067.06	Professional		$2,640.23	$3,517.17	$4,067.06
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 $1,870.02 / $4,160.28 / $5,870.76	Professional		$1,870.02	$4,160.28	$5,870.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,034.70 / $4,746.70 / $4,936.60	Professional		$4,034.70	$4,746.70	$4,936.60