Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,979.61 / $1,979.61 / $1,979.61	Facility		$1,979.61	$1,979.61	$1,979.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,693.57 / $1,943.13 / $1,979.61	Professional		$1,693.57	$1,943.13	$1,979.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,546.24 / $4,548.26 / $5,683.53	Professional		$4,546.24	$4,548.26	$5,683.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,214.86 / $3,345.54 / $5,607.30	Facility		$2,214.86	$3,345.54	$5,607.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,438.54 / $4,220.26 / $15,478.16	Professional		$2,438.54	$4,220.26	$15,478.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,144.91 / $5,119.29 / $6,781.54	Facility		$3,144.91	$5,119.29	$6,781.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,318.00 / $4,661.97 / $5,929.30	Professional		$3,318.00	$4,661.97	$5,929.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,722.39 / $3,775.36 / $4,326.47	Professional		$2,722.39	$3,775.36	$4,326.47
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 $2,734.10 / $4,346.67 / $5,640.85	Professional		$2,734.10	$4,346.67	$5,640.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,292.00 / $5,049.39 / $5,251.40	Professional		$4,292.00	$5,049.39	$5,251.40