Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,384.00 / $3,384.00 / $3,384.00	Facility		$3,384.00	$3,384.00	$3,384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,412.00 / $2,808.00 / $3,384.00	Professional		$2,412.00	$2,808.00	$3,384.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,170.76 / $6,538.44 / $8,173.06	Professional		$5,170.76	$6,538.44	$8,173.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,397.68 / $4,076.28 / $6,608.88	Facility		$3,397.68	$4,076.28	$6,608.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,160.00 / $7,084.80	Professional		$1,836.00	$2,160.00	$7,084.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,320.00 / $6,051.55 / $9,901.58	Facility		$4,320.00	$6,051.55	$9,901.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,320.00 / $7,084.80 / $9,901.58	Professional		$4,320.00	$7,084.80	$9,901.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,148.00 / $8,673.48 / $9,889.92	Professional		$5,148.00	$8,673.48	$9,889.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $2,160.00 / $3,600.00	Professional		$1,512.00	$2,160.00	$3,600.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Professional		$3,600.00	$3,600.00	$3,600.00