Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.54 / $1,690.54 / $1,690.54	Facility		$1,690.54	$1,690.54	$1,690.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,567.14 / $1,690.54 / $2,474.86	Professional		$1,567.14	$1,690.54	$2,474.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,290.32 / $3,488.81 / $4,361.01	Professional		$3,290.32	$3,488.81	$4,361.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,857.01 / $4,352.20	Facility		$2,000.00	$2,857.01	$4,352.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,752.07 / $3,220.11 / $19,176.00	Professional		$1,752.07	$3,220.11	$19,176.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,937.89 / $5,106.76	Facility		$2,976.00	$3,937.89	$5,106.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,914.88 / $3,601.13 / $4,571.32	Professional		$2,914.88	$3,601.13	$4,571.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,071.91 / $2,801.79 / $3,200.86	Professional		$2,071.91	$2,801.79	$3,200.86
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 $1,752.07 / $2,858.42 / $4,446.43	Professional		$1,752.07	$2,858.42	$4,446.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,301.60 / $3,884.20 / $4,039.50	Professional		$3,301.60	$3,884.20	$4,039.50