Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,173.21 / $2,173.21 / $2,173.21	Facility		$2,173.21	$2,173.21	$2,173.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,858.72 / $2,173.21 / $5,759.45	Professional		$1,858.72	$2,173.21	$5,759.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,832.20 / $4,988.58 / $6,235.72	Professional		$3,832.20	$4,988.58	$6,235.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,670.05 / $3,583.19 / $5,730.83	Facility		$2,670.05	$3,583.19	$5,730.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,134.44 / $4,380.18 / $16,999.52	Professional		$2,134.44	$4,380.18	$16,999.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,246.85 / $5,175.58 / $7,456.25	Facility		$3,246.85	$5,175.58	$7,456.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,246.85 / $4,729.17 / $6,457.84	Professional		$3,246.85	$4,729.17	$6,457.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,729.12 / $3,764.74 / $4,754.72	Professional		$2,729.12	$3,764.74	$4,754.72
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 $2,134.44 / $3,986.69 / $6,201.52	Professional		$2,134.44	$3,986.69	$6,201.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,716.89 / $5,771.20 / $5,771.20	Professional		$4,716.89	$5,771.20	$5,771.20