Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,973.06 / $1,973.06 / $1,973.06	Facility		$1,973.06	$1,973.06	$1,973.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,622.04 / $1,973.06 / $5,914.48	Professional		$1,622.04	$1,973.06	$5,914.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,254.89 / $4,298.00 / $5,319.31	Professional		$4,254.89	$4,298.00	$5,319.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,987.10 / $5,435.48	Facility		$2,000.00	$2,987.10	$5,435.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,166.56 / $3,939.20 / $17,586.62	Professional		$2,166.56	$3,939.20	$17,586.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,084.12 / $4,815.93 / $6,259.08	Facility		$3,084.12	$4,815.93	$6,259.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,562.87 / $4,402.43 / $5,393.65	Professional		$3,562.87	$4,402.43	$5,393.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,512.82 / $3,432.20 / $3,913.10	Professional		$2,512.82	$3,432.20	$3,913.10
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 $2,363.52 / $4,218.68 / $5,445.55	Professional		$2,363.52	$4,218.68	$5,445.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,727.70 / $4,385.50 / $4,560.89	Professional		$3,727.70	$4,385.50	$4,560.89