Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,940.69 / $1,940.69 / $1,940.69	Facility		$1,940.69	$1,940.69	$1,940.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,647.12 / $1,940.69 / $6,217.55	Professional		$1,647.12	$1,940.69	$6,217.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,055.84 / $4,425.29 / $5,531.61	Professional		$4,055.84	$4,425.29	$5,531.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,082.83 / $2,783.63 / $4,513.10	Facility		$2,082.83	$2,783.63	$4,513.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,969.25 / $3,565.82 / $14,837.84	Professional		$1,969.25	$3,565.82	$14,837.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,542.67 / $4,662.85 / $6,492.68	Facility		$2,542.67	$4,662.85	$6,492.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,654.00 / $4,055.84 / $5,645.86	Professional		$2,654.00	$4,055.84	$5,645.86
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,312.71 / $3,348.93 / $4,087.11	Professional		$2,312.71	$3,348.93	$4,087.11
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 $1,969.25 / $3,565.82 / $5,546.83	Professional		$1,969.25	$3,565.82	$5,546.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,054.60 / $4,770.10 / $4,960.89	Professional		$4,054.60	$4,770.10	$4,960.89