Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,126.46 / $2,126.46 / $2,126.46	Facility		$2,126.46	$2,126.46	$2,126.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.05 / $2,126.46 / $5,628.10	Professional		$1,819.05	$2,126.46	$5,628.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,752.60 / $4,884.96 / $6,106.20	Professional		$3,752.60	$4,884.96	$6,106.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,613.07 / $3,512.68 / $6,026.42	Facility		$2,613.07	$3,512.68	$6,026.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,130.36 / $4,544.60 / $16,623.59	Professional		$2,130.36	$4,544.60	$16,623.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,351.83 / $5,009.08 / $7,281.09	Facility		$3,351.83	$5,009.08	$7,281.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,351.83 / $4,904.84 / $6,308.50	Professional		$3,351.83	$4,904.84	$6,308.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,900.46 / $4,057.34 / $4,647.33	Professional		$2,900.46	$4,057.34	$4,647.33
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 $2,130.36 / $4,328.20 / $6,058.84	Professional		$2,130.36	$4,328.20	$6,058.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,610.30 / $5,640.90 / $5,640.90	Professional		$4,610.30	$5,640.90	$5,640.90