Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,968.54 / $1,968.54 / $1,968.54	Facility		$1,968.54	$1,968.54	$1,968.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,683.97 / $1,968.54 / $6,422.26	Professional		$1,683.97	$1,968.54	$6,422.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,518.97 / $4,544.10 / $5,649.45	Professional		$4,518.97	$4,544.10	$5,649.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,202.39 / $2,919.13 / $5,596.93	Facility		$2,202.39	$2,919.13	$5,596.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,409.56 / $4,204.24 / $16,516.93	Professional		$2,409.56	$4,204.24	$16,516.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,109.41 / $5,091.22 / $6,744.00	Facility		$3,109.41	$5,091.22	$6,744.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,219.00 / $4,657.71 / $5,899.27	Professional		$2,219.00	$4,657.71	$5,899.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,727.59 / $3,767.82 / $4,301.89	Professional		$2,727.59	$3,767.82	$4,301.89
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 $2,208.77 / $4,216.74 / $5,620.44	Professional		$2,208.77	$4,216.74	$5,620.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,267.60 / $5,020.80 / $5,221.60	Professional		$4,267.60	$5,020.80	$5,221.60