Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,630.55 / $1,905.46 / $6,143.16	Professional		$1,630.55	$1,905.46	$6,143.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,377.22 / $4,384.00 / $5,479.99	Professional		$4,377.22	$4,384.00	$5,479.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,123.94 / $2,755.63 / $5,355.69	Facility		$2,123.94	$2,755.63	$5,355.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,320.04 / $4,031.32 / $14,868.96	Professional		$2,320.04	$4,031.32	$14,868.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,989.73 / $4,917.78 / $6,495.81	Facility		$2,989.73	$4,917.78	$6,495.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,958.00 / $4,486.66 / $5,684.29	Professional		$2,958.00	$4,486.66	$5,684.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,311.73 / $3,602.46 / $4,151.80	Professional		$2,311.73	$3,602.46	$4,151.80
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 $2,320.04 / $3,474.86 / $5,405.34	Professional		$2,320.04	$3,474.86	$5,405.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,118.80 / $4,845.60 / $5,039.39	Professional		$4,118.80	$4,845.60	$5,039.39