Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.22 / $1,772.22 / $1,772.22	Facility		$1,772.22	$1,772.22	$1,772.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,637.05 / $1,772.22 / $1,772.22	Professional		$1,637.05	$1,772.22	$1,772.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,445.36 / $3,653.20 / $4,566.50	Professional		$3,445.36	$3,653.20	$4,566.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,890.30 / $4,650.57	Facility		$2,000.00	$2,890.30	$4,650.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,844.92 / $3,379.69 / $21,307.00	Professional		$1,844.92	$3,379.69	$21,307.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,170.00 / $4,116.07 / $5,355.97	Facility		$3,170.00	$4,116.07	$5,355.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,050.02 / $3,753.97 / $4,732.55	Professional		$3,050.02	$3,753.97	$4,732.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,205.59 / $2,926.65 / $3,336.71	Professional		$2,205.59	$2,926.65	$3,336.71
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 $1,844.92 / $3,588.17 / $4,664.32	Professional		$1,844.92	$3,588.17	$4,664.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,441.70 / $4,049.00 / $4,211.00	Professional		$3,441.70	$4,049.00	$4,211.00