Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,002.54 / $2,002.54 / $2,002.54	Facility		$2,002.54	$2,002.54	$2,002.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,671.17 / $2,002.54 / $4,743.89	Professional		$1,671.17	$2,002.54	$4,743.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,459.33 / $4,503.20 / $5,629.00	Professional		$3,459.33	$4,503.20	$5,629.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,379.77 / $3,297.85 / $4,772.06	Facility		$2,379.77	$3,297.85	$4,772.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,859.75 / $3,626.24 / $29,283.99	Professional		$1,859.75	$3,626.24	$29,283.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,674.30 / $4,554.24 / $6,222.58	Facility		$2,674.30	$4,554.24	$6,222.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,674.30 / $3,817.50 / $5,399.65	Professional		$2,674.30	$3,817.50	$5,399.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,161.50 / $3,134.73 / $3,917.63	Professional		$2,161.50	$3,134.73	$3,917.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,804.68 / $3,615.30 / $5,640.82	Professional		$1,804.68	$3,615.30	$5,640.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,886.40 / $4,755.20 / $4,755.20	Professional		$3,886.40	$4,755.20	$4,755.20