Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.14 / $1,649.14 / $1,649.14	Facility		$1,649.14	$1,649.14	$1,649.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.32 / $1,649.14 / $1,649.14	Professional		$1,523.32	$1,649.14	$1,649.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,207.29 / $3,400.77 / $4,250.96	Professional		$3,207.29	$3,400.77	$4,250.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,579.01 / $2,574.41 / $4,292.76	Facility		$1,579.01	$2,574.41	$4,292.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,719.17 / $3,125.76 / $14,627.60	Professional		$1,719.17	$3,125.76	$14,627.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,837.00 / $3,652.54 / $4,981.63	Facility		$2,837.00	$3,652.54	$4,981.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,596.00 / $3,493.42 / $4,750.02	Professional		$2,596.00	$3,493.42	$4,750.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,046.44 / $2,723.52 / $3,105.12	Professional		$2,046.44	$2,723.52	$3,105.12
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 $1,719.17 / $3,125.76 / $4,341.09	Professional		$1,719.17	$3,125.76	$4,341.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,202.80 / $3,768.00 / $3,918.70	Professional		$3,202.80	$3,768.00	$3,918.70