Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,796.09 / $1,796.09 / $1,796.09	Facility		$1,796.09	$1,796.09	$1,796.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.82 / $1,796.09 / $5,826.45	Professional		$1,536.82	$1,796.09	$5,826.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,125.58 / $4,134.30 / $5,157.64	Professional		$4,125.58	$4,134.30	$5,157.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,007.58 / $2,682.08 / $5,075.51	Facility		$2,007.58	$2,682.08	$5,075.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,200.33 / $3,822.34 / $14,039.20	Professional		$2,200.33	$3,822.34	$14,039.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,838.13 / $4,643.35 / $6,147.51	Facility		$2,838.13	$4,643.35	$6,147.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,035.00 / $4,237.66 / $5,375.63	Professional		$3,035.00	$4,237.66	$5,375.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,488.00 / $3,416.80 / $3,922.15	Professional		$2,488.00	$3,416.80	$3,922.15
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 $2,200.33 / $3,944.42 / $5,112.66	Professional		$2,200.33	$3,944.42	$5,112.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,890.90 / $4,577.60 / $4,760.70	Professional		$3,890.90	$4,577.60	$4,760.70