Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,392.39 / $2,392.39 / $2,392.39	Facility		$2,392.39	$2,392.39	$2,392.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,014.08 / $2,392.39 / $6,888.99	Professional		$2,014.08	$2,392.39	$6,888.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,310.00 / $5,428.77 / $6,785.96	Professional		$5,310.00	$5,428.77	$6,785.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,380.86 / $3,403.80 / $6,508.82	Facility		$2,380.86	$3,403.80	$6,508.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,879.20 / $4,798.66 / $18,098.00	Professional		$2,879.20	$4,798.66	$18,098.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,735.33 / $6,007.88 / $7,559.49	Facility		$3,735.33	$6,007.88	$7,559.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,944.00 / $5,310.00 / $6,568.22	Professional		$3,944.00	$5,310.00	$6,568.22
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,031.61 / $4,104.92 / $4,719.78	Professional		$3,031.61	$4,104.92	$4,719.78
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 $2,879.20 / $4,798.66 / $6,738.42	Professional		$2,879.20	$4,798.66	$6,738.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,682.20 / $5,508.50 / $5,728.80	Professional		$4,682.20	$5,508.50	$5,728.80