Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Facility		$2,979.56	$2,979.56	$2,979.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $2,979.56	Professional		$2,979.56	$2,979.56	$2,979.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,979.55 / $2,979.55 / $4,216.35	Professional		$2,979.55	$2,979.55	$4,216.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,901.66 / $4,903.81 / $5,050.89	Facility		$2,901.66	$4,903.81	$5,050.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,901.66 / $2,901.66 / $9,975.00	Professional		$2,901.66	$2,901.66	$9,975.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,435.76 / $3,435.76 / $3,481.99	Facility		$3,435.76	$3,435.76	$3,481.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,435.76 / $3,481.99 / $3,481.99	Professional		$3,435.76	$3,481.99	$3,481.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,260.64 / $3,260.64 / $3,260.64	Professional		$3,260.64	$3,260.64	$3,260.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,979.56 / $2,979.56 / $3,277.52	Professional		$2,979.56	$2,979.56	$3,277.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2,901.66 / $2,901.66 / $2,901.66	Facility		$2,901.66	$2,901.66	$2,901.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,901.66 / $2,901.66 / $2,901.66	Professional		$2,901.66	$2,901.66	$2,901.66