Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,833.00 / $1,833.00 / $1,833.00	Facility		$1,833.00	$1,833.00	$1,833.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,521.00 / $1,833.00 / $1,833.00	Professional		$1,521.00	$1,833.00	$1,833.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,800.66 / $3,541.44 / $4,426.80	Professional		$2,800.66	$3,541.44	$4,426.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,840.41 / $2,207.98 / $3,579.81	Facility		$1,840.41	$2,207.98	$3,579.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $994.50 / $1,170.00 / $9,711.00	Professional		$994.50	$1,170.00	$9,711.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,340.00 / $2,535.00 / $5,363.36	Facility		$2,340.00	$2,535.00	$5,363.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $5,363.36	Professional		$2,340.00	$2,340.00	$5,363.36
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,993.41 / $4,698.14 / $5,357.04	Professional		$3,993.41	$4,698.14	$5,357.04
United Facility/Professional Professional Modifier Low / Median / High Price $819.00 / $994.50 / $1,950.00	Professional		$819.00	$994.50	$1,950.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Professional		$1,950.00	$1,950.00	$1,950.00