Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.97 / $1,946.97 / $1,946.97	Facility		$1,946.97	$1,946.97	$1,946.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.03 / $1,946.97 / $6,321.97	Professional		$1,665.03	$1,946.97	$6,321.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,470.68 / $4,492.60 / $5,589.07	Professional		$4,470.68	$4,492.60	$5,589.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,177.71 / $3,290.38 / $5,509.50	Facility		$2,177.71	$3,290.38	$5,509.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,396.57 / $4,146.14 / $16,867.68	Professional		$2,396.57	$4,146.14	$16,867.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,090.47 / $5,032.21 / $6,662.66	Facility		$3,090.47	$5,032.21	$6,662.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,272.00 / $4,604.93 / $5,830.81	Professional		$3,272.00	$4,604.93	$5,830.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,712.01 / $3,709.22 / $4,254.01	Professional		$2,712.01	$3,709.22	$4,254.01
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 $2,686.91 / $3,563.60 / $5,543.38	Professional		$2,686.91	$3,563.60	$5,543.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,220.10 / $4,964.89 / $5,163.50	Professional		$4,220.10	$4,964.89	$5,163.50