Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,967.36 / $1,967.36 / $1,967.36	Facility		$1,967.36	$1,967.36	$1,967.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,682.73 / $1,967.36 / $3,304.40	Professional		$1,682.73	$1,967.36	$3,304.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,495.87 / $4,518.78 / $5,648.48	Professional		$4,495.87	$4,518.78	$5,648.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,201.32 / $3,324.84 / $5,569.55	Facility		$2,201.32	$3,324.84	$5,569.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,370.80 / $4,148.91 / $17,668.47	Professional		$2,370.80	$4,148.91	$17,668.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,063.42 / $5,086.22 / $6,735.65	Facility		$3,063.42	$5,086.22	$6,735.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,369.00 / $4,608.27 / $5,892.06	Professional		$3,369.00	$4,608.27	$5,892.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,633.74 / $3,749.83 / $4,299.93	Professional		$2,633.74	$3,749.83	$4,299.93
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 $2,863.42 / $4,078.93 / $5,603.53	Professional		$2,863.42	$4,078.93	$5,603.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,265.70 / $5,018.50 / $5,219.20	Professional		$4,265.70	$5,018.50	$5,219.20