Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,907.81 / $1,907.81 / $1,907.81	Facility		$1,907.81	$1,907.81	$1,907.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,632.00 / $1,907.81 / $6,192.48	Professional		$1,632.00	$1,907.81	$6,192.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,381.10 / $4,408.43 / $5,477.07	Professional		$4,381.10	$4,408.43	$5,477.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,132.46 / $3,224.20 / $5,395.26	Facility		$2,132.46	$3,224.20	$5,395.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,302.60 / $4,029.54 / $14,910.00	Professional		$2,302.60	$4,029.54	$14,910.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,972.81 / $4,931.38 / $6,529.17	Facility		$2,972.81	$4,931.38	$6,529.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,212.00 / $4,518.64 / $5,710.71	Professional		$3,212.00	$4,518.64	$5,710.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,668.76 / $3,632.05 / $4,166.04	Professional		$2,668.76	$3,632.05	$4,166.04
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 $2,302.60 / $4,029.54 / $5,431.02	Professional		$2,302.60	$4,029.54	$5,431.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,132.89 / $4,862.20 / $5,056.70	Professional		$4,132.89	$4,862.20	$5,056.70