Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $2,698.05	Facility		$2,698.05	$2,698.05	$2,698.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,264.64	Professional		$2,698.05	$2,698.05	$3,264.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,708.29 / $3,385.36	Professional		$2,698.05	$2,708.29	$3,385.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,698.05 / $4,559.70 / $5,396.10	Facility		$2,698.05	$4,559.70	$5,396.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $3,003.50 / $11,735.90	Professional		$2,698.05	$3,003.50	$11,735.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,189.75 / $3,468.22 / $4,515.26	Facility		$3,189.75	$3,468.22	$4,515.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,189.75 / $3,987.19 / $4,047.08	Professional		$3,189.75	$3,987.19	$4,047.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,952.58 / $2,952.58 / $2,952.58	Professional		$2,952.58	$2,952.58	$2,952.58
United Facility/Professional Professional Modifier Low / Median / High Price $2,698.05 / $2,698.05 / $3,210.68	Professional		$2,698.05	$2,698.05	$3,210.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,952.59 / $2,952.59 / $2,952.59	Facility		$2,952.59	$2,952.59	$2,952.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,952.59 / $2,952.59 / $2,952.59	Professional		$2,952.59	$2,952.59	$2,952.59