Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,818.35 / $1,818.35 / $1,818.35	Facility		$1,818.35	$1,818.35	$1,818.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,555.66 / $1,818.35 / $5,911.71	Professional		$1,555.66	$1,818.35	$5,911.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,177.78 / $4,202.43 / $5,222.89	Professional		$4,177.78	$4,202.43	$5,222.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,031.52 / $3,073.01 / $5,151.75	Facility		$2,031.52	$3,073.01	$5,151.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,243.44 / $3,869.07 / $14,205.92	Professional		$2,243.44	$3,869.07	$14,205.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,891.47 / $4,698.49 / $6,218.42	Facility		$2,891.47	$4,698.49	$6,218.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,013.00 / $4,307.50 / $5,439.28	Professional		$3,013.00	$4,307.50	$5,439.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,536.86 / $3,466.70 / $3,969.38	Professional		$2,536.86	$3,466.70	$3,969.38
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 $2,243.44 / $3,739.08 / $5,180.22	Professional		$2,243.44	$3,739.08	$5,180.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,937.80 / $4,632.70 / $4,818.00	Professional		$3,937.80	$4,632.70	$4,818.00