Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.16 / $1,646.16 / $1,646.16	Facility		$1,646.16	$1,646.16	$1,646.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.48 / $1,646.16 / $1,646.16	Professional		$1,525.48	$1,646.16	$1,646.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,201.41 / $3,394.54 / $4,243.17	Professional		$3,201.41	$3,394.54	$4,243.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,578.06 / $4,249.27	Facility		$2,000.00	$2,578.06	$4,249.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,697.62 / $3,142.67 / $12,165.34	Professional		$1,697.62	$3,142.67	$12,165.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $3,627.23 / $4,981.63	Facility		$2,803.00	$3,627.23	$4,981.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,641.00 / $3,507.26 / $4,333.14	Professional		$2,641.00	$3,507.26	$4,333.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,025.58 / $2,734.30 / $3,117.41	Professional		$2,025.58	$2,734.30	$3,117.41
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 $1,697.62 / $3,200.26 / $4,335.60	Professional		$1,697.62	$3,200.26	$4,335.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,215.50 / $3,782.90 / $3,934.20	Professional		$3,215.50	$3,782.90	$3,934.20