Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,008.00 / $3,008.00 / $3,008.00	Facility		$3,008.00	$3,008.00	$3,008.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,496.00 / $2,496.00 / $3,008.00	Professional		$2,496.00	$2,496.00	$3,008.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,596.68 / $5,812.53 / $7,265.66	Professional		$4,596.68	$5,812.53	$7,265.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,020.16 / $3,623.36 / $5,874.56	Facility		$3,020.16	$3,623.36	$5,874.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,632.00 / $1,920.00 / $6,297.60	Professional		$1,632.00	$1,920.00	$6,297.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,840.00 / $5,600.00 / $8,172.74	Facility		$3,840.00	$5,600.00	$8,172.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,840.00 / $6,297.60 / $8,172.74	Professional		$3,840.00	$6,297.60	$8,172.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,576.00 / $7,709.76 / $8,791.04	Professional		$4,576.00	$7,709.76	$8,791.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,344.00 / $1,920.00 / $4,224.00	Professional		$1,344.00	$1,920.00	$4,224.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Professional		$3,200.00	$3,200.00	$3,200.00