Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $2,608.16	Facility		$2,608.16	$2,608.16	$2,608.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,078.11	Professional		$2,608.16	$2,608.16	$3,078.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,686.87 / $2,723.89 / $3,404.86	Professional		$2,686.87	$2,723.89	$3,404.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,543.89 / $3,541.54 / $5,087.78	Facility		$2,543.89	$3,541.54	$5,087.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,543.89 / $2,831.88 / $12,064.38	Professional		$2,543.89	$2,831.88	$12,064.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $3,552.29 / $4,117.08	Facility		$1,745.00	$3,552.29	$4,117.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,148.64 / $3,208.12 / $3,815.84	Professional		$2,148.64	$3,208.12	$3,815.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,854.21 / $2,854.21 / $2,854.21	Professional		$2,854.21	$2,854.21	$2,854.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,608.16 / $2,608.16 / $3,103.71	Professional		$2,608.16	$2,608.16	$3,103.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,783.88 / $2,783.88 / $2,783.88	Facility		$2,783.88	$2,783.88	$2,783.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,783.88 / $2,783.88 / $2,783.88	Professional		$2,783.88	$2,783.88	$2,783.88