Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,806.57 / $1,806.57 / $1,806.57	Facility		$1,806.57	$1,806.57	$1,806.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,545.69 / $1,806.57 / $5,850.94	Professional		$1,545.69	$1,806.57	$5,850.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,141.34 / $4,151.82 / $5,189.78	Professional		$4,141.34	$4,151.82	$5,189.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,017.86 / $3,053.10 / $5,098.08	Facility		$2,017.86	$3,053.10	$5,098.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,219.35 / $3,837.70 / $15,830.79	Professional		$2,219.35	$3,837.70	$15,830.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,860.86 / $4,667.95 / $6,175.67	Facility		$2,860.86	$4,667.95	$6,175.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,005.00 / $4,244.87 / $5,402.06	Professional		$3,005.00	$4,244.87	$5,402.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,479.34 / $3,431.30 / $3,942.86	Professional		$2,479.34	$3,431.30	$3,942.86
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 $2,219.35 / $3,698.92 / $5,135.93	Professional		$2,219.35	$3,698.92	$5,135.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,911.50 / $4,601.70 / $4,785.80	Professional		$3,911.50	$4,601.70	$4,785.80