Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,265.31 / $2,265.31 / $2,265.31	Facility		$2,265.31	$2,265.31	$2,265.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,265.31 / $2,585.51	Professional		$2,100.00	$2,265.31	$2,585.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,213.00 / $5,736.51 / $7,170.64	Professional		$5,213.00	$5,736.51	$7,170.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,693.78 / $3,628.70 / $6,067.20	Facility		$2,693.78	$3,628.70	$6,067.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,678.81 / $4,464.68 / $19,519.36	Professional		$2,678.81	$4,464.68	$19,519.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,339.88 / $5,941.29 / $6,099.31	Facility		$3,339.88	$5,941.29	$6,099.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,160.00 / $4,597.58 / $5,941.29	Professional		$3,160.00	$4,597.58	$5,941.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,723.85 / $4,117.97 / $5,288.41	Professional		$2,723.85	$4,117.97	$5,288.41
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 $2,455.57 / $4,096.37 / $5,461.82	Professional		$2,455.57	$4,096.37	$5,461.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,404.90 / $4,005.80 / $4,166.00	Professional		$3,404.90	$4,005.80	$4,166.00