Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,692.43 / $2,692.43 / $2,692.43	Facility		$2,692.43	$2,692.43	$2,692.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,257.19 / $2,692.43 / $4,263.47	Professional		$2,257.19	$2,692.43	$4,263.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,892.23 / $6,069.97 / $7,587.46	Professional		$5,892.23	$6,069.97	$7,587.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,638.65 / $3,814.65 / $7,001.36	Facility		$2,638.65	$3,814.65	$7,001.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,137.08 / $5,228.46 / $20,151.52	Professional		$3,137.08	$5,228.46	$20,151.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,050.16 / $6,686.86 / $8,850.52	Facility		$4,050.16	$6,686.86	$8,850.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,866.00 / $5,892.23 / $7,338.06	Professional		$3,866.00	$5,892.23	$7,338.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,290.28 / $4,451.99 / $5,237.30	Professional		$3,290.28	$4,451.99	$5,237.30
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 $3,137.08 / $5,489.88 / $7,400.48	Professional		$3,137.08	$5,489.88	$7,400.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,195.60 / $6,112.50 / $6,357.00	Professional		$5,195.60	$6,112.50	$6,357.00