Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,725.44 / $2,725.44 / $2,725.44	Facility		$2,725.44	$2,725.44	$2,725.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,330.92 / $2,725.44 / $7,239.42	Professional		$2,330.92	$2,725.44	$7,239.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,802.35 / $6,251.50 / $7,814.37	Professional		$4,802.35	$6,251.50	$7,814.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,662.14 / $4,661.85 / $7,781.86	Facility		$3,662.14	$4,661.85	$7,781.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,841.00 / $5,895.48 / $21,346.08	Professional		$2,841.00	$5,895.48	$21,346.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,350.35 / $6,501.40 / $9,375.09	Facility		$4,350.35	$6,501.40	$9,375.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,350.35 / $6,335.96 / $8,125.35	Professional		$4,350.35	$6,335.96	$8,125.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,735.79 / $5,239.93 / $5,974.12	Professional		$3,735.79	$5,239.93	$5,974.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,841.00 / $5,019.22 / $7,807.69	Professional		$2,841.00	$5,019.22	$7,807.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,926.60 / $7,251.30 / $7,251.30	Professional		$5,926.60	$7,251.30	$7,251.30