Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,890.11 / $1,890.11 / $1,890.11	Facility		$1,890.11	$1,890.11	$1,890.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,744.97 / $1,890.11 / $2,748.76	Professional		$1,744.97	$1,890.11	$2,748.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,669.47 / $3,890.83 / $4,863.53	Professional		$3,669.47	$3,890.83	$4,863.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,194.29 / $4,953.30	Facility		$2,000.00	$3,194.29	$4,953.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,967.97 / $3,614.70 / $17,387.00	Professional		$1,967.97	$3,614.70	$17,387.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,273.00 / $4,215.52 / $5,722.02	Facility		$3,273.00	$4,215.52	$5,722.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,190.00 / $4,005.79 / $4,969.75	Professional		$3,190.00	$4,005.79	$4,969.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,361.71 / $3,122.97 / $3,560.54	Professional		$2,361.71	$3,122.97	$3,560.54
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 $1,967.97 / $3,578.12 / $4,982.96	Professional		$1,967.97	$3,578.12	$4,982.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,672.50 / $4,320.60 / $4,493.50	Professional		$3,672.50	$4,320.60	$4,493.50