Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,631.69 / $2,631.69 / $2,631.69	Facility		$2,631.69	$2,631.69	$2,631.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,448.66 / $2,631.69 / $3,437.90	Professional		$2,448.66	$2,631.69	$3,437.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,433.72 / $6,483.67 / $8,104.59	Professional		$6,433.72	$6,483.67	$8,104.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,891.57 / $4,138.24 / $7,605.12	Facility		$2,891.57	$4,138.24	$7,605.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,358.42 / $5,597.36 / $21,615.68	Professional		$3,358.42	$5,597.36	$21,615.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,371.70 / $7,174.35 / $9,094.56	Facility		$4,371.70	$7,174.35	$9,094.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,823.00 / $6,433.72 / $7,865.29	Professional		$3,823.00	$6,433.72	$7,865.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,607.25 / $4,861.12 / $5,718.60	Professional		$3,607.25	$4,861.12	$5,718.60
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 $3,358.42 / $5,597.36 / $7,974.12	Professional		$3,358.42	$5,597.36	$7,974.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,573.10 / $6,556.60 / $6,818.90	Professional		$5,573.10	$6,556.60	$6,818.90