Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.07 / $2,221.07 / $2,221.07	Facility		$2,221.07	$2,221.07	$2,221.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,899.89 / $2,221.07 / $5,883.38	Professional		$1,899.89	$2,221.07	$5,883.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,918.38 / $5,100.77 / $6,375.96	Professional		$3,918.38	$5,100.77	$6,375.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,729.19 / $3,538.74 / $5,223.10	Facility		$2,729.19	$3,538.74	$5,223.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,179.54 / $4,147.67 / $17,369.36	Professional		$2,179.54	$4,147.67	$17,369.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,086.67 / $5,223.10 / $7,610.60	Facility		$3,086.67	$5,223.10	$7,610.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,086.67 / $4,443.93 / $6,593.54	Professional		$3,086.67	$4,443.93	$6,593.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,602.50 / $3,621.59 / $4,857.57	Professional		$2,602.50	$3,621.59	$4,857.57
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 $2,179.54 / $3,732.36 / $6,335.39	Professional		$2,179.54	$3,732.36	$6,335.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,818.89 / $5,896.10 / $5,896.10	Professional		$4,818.89	$5,896.10	$5,896.10