Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,726.00 / $2,726.00 / $2,726.00	Facility		$2,726.00	$2,726.00	$2,726.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,331.21 / $2,726.00 / $7,240.25	Professional		$2,331.21	$2,726.00	$7,240.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,802.96 / $6,252.28 / $7,815.35	Professional		$4,802.96	$6,252.28	$7,815.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,348.80 / $4,547.64 / $7,782.85	Facility		$3,348.80	$4,547.64	$7,782.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,852.55 / $5,874.10 / $21,348.72	Professional		$2,852.55	$5,874.10	$21,348.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,335.49 / $6,516.47 / $9,377.16	Facility		$4,335.49	$6,516.47	$9,377.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,335.49 / $6,337.43 / $8,127.17	Professional		$4,335.49	$6,337.43	$8,127.17
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,667.12 / $5,240.51 / $5,974.77	Professional		$3,667.12	$5,240.51	$5,974.77
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 $2,696.12 / $5,874.10 / $7,809.73	Professional		$2,696.12	$5,874.10	$7,809.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,927.20 / $7,252.10 / $7,252.10	Professional		$5,927.20	$7,252.10	$7,252.10