Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,359.88 / $2,359.88 / $2,359.88	Facility		$2,359.88	$2,359.88	$2,359.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,018.95 / $2,359.88 / $6,257.32	Professional		$2,018.95	$2,359.88	$6,257.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,161.97 / $5,417.86 / $6,772.33	Professional		$4,161.97	$5,417.86	$6,772.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,900.22 / $3,988.20 / $6,709.14	Facility		$2,900.22	$3,988.20	$6,709.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,451.06 / $5,102.71 / $18,467.84	Professional		$2,451.06	$5,102.71	$18,467.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,762.08 / $5,649.21 / $8,097.60	Facility		$3,762.08	$5,649.21	$8,097.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,762.08 / $5,462.24 / $7,015.21	Professional		$3,762.08	$5,462.24	$7,015.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,225.38 / $4,518.60 / $5,165.50	Professional		$3,225.38	$4,518.60	$5,165.50
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 $2,451.06 / $4,332.14 / $6,738.90	Professional		$2,451.06	$4,332.14	$6,738.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $5,124.39 / $6,269.80 / $6,269.80	Professional		$5,124.39	$6,269.80	$6,269.80