Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,014.45 / $2,014.45 / $2,014.45	Facility		$2,014.45	$2,014.45	$2,014.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.05 / $2,014.45 / $5,501.23	Professional		$1,631.05	$2,014.45	$5,501.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,173.91 / $4,321.67 / $5,402.08	Professional		$4,173.91	$4,321.67	$5,402.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,897.77 / $2,756.47 / $5,082.95	Facility		$1,897.77	$2,756.47	$5,082.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,326.69 / $3,877.82 / $14,180.56	Professional		$2,326.69	$3,877.82	$14,180.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,986.44 / $4,704.41 / $5,947.28	Facility		$2,986.44	$4,704.41	$5,947.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,747.00 / $4,173.91 / $5,161.85	Professional		$2,747.00	$4,173.91	$5,161.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,182.38 / $3,220.69 / $3,709.97	Professional		$2,182.38	$3,220.69	$3,709.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,326.69 / $3,818.74 / $5,340.97	Professional		$2,326.69	$3,818.74	$5,340.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,534.20 / $4,157.89 / $4,324.20	Professional		$3,534.20	$4,157.89	$4,324.20