Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.41 / $1,715.41 / $1,715.41	Facility		$1,715.41	$1,715.41	$1,715.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,409.93 / $1,715.41 / $5,131.88	Professional		$1,409.93	$1,715.41	$5,131.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,700.25 / $3,737.73 / $4,625.91	Professional		$3,700.25	$3,737.73	$4,625.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,563.91 / $4,618.79	Facility		$2,000.00	$2,563.91	$4,618.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,027.77 / $3,429.75 / $12,619.68	Professional		$2,027.77	$3,429.75	$12,619.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,647.65 / $4,185.00 / $5,439.43	Facility		$2,647.65	$4,185.00	$5,439.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,096.57 / $3,827.48 / $4,688.67	Professional		$3,096.57	$3,827.48	$4,688.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,222.66 / $2,891.92 / $3,402.05	Professional		$2,222.66	$2,891.92	$3,402.05
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 $2,027.77 / $3,379.62 / $4,729.26	Professional		$2,027.77	$3,379.62	$4,729.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,240.90 / $3,812.80 / $3,965.30	Professional		$3,240.90	$3,812.80	$3,965.30