Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.42 / $1,708.42 / $1,708.42	Facility		$1,708.42	$1,708.42	$1,708.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.50 / $1,708.42 / $5,138.39	Professional		$1,403.50	$1,708.42	$5,138.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,682.33 / $3,719.63 / $4,603.51	Professional		$3,682.33	$3,719.63	$4,603.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,371.92 / $4,676.28	Facility		$2,000.00	$2,371.92	$4,676.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,026.94 / $3,378.24 / $12,573.68	Professional		$2,026.94	$3,378.24	$12,573.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,648.18 / $4,169.87 / $5,422.72	Facility		$2,648.18	$4,169.87	$5,422.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,170.10 / $3,814.38 / $4,720.21	Professional		$3,170.10	$3,814.38	$4,720.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,216.63 / $2,973.74 / $3,390.40	Professional		$2,216.63	$2,973.74	$3,390.40
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 $2,124.38 / $3,378.24 / $4,723.01	Professional		$2,124.38	$3,378.24	$4,723.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,229.80 / $3,799.70 / $3,951.70	Professional		$3,229.80	$3,799.70	$3,951.70