Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,688.12 / $1,688.12 / $1,688.12	Facility		$1,688.12	$1,688.12	$1,688.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,559.22 / $1,688.12 / $1,688.12	Professional		$1,559.22	$1,688.12	$1,688.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,283.71 / $3,481.80 / $4,352.25	Professional		$3,283.71	$3,481.80	$4,352.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,852.92 / $4,389.26	Facility		$2,000.00	$2,852.92	$4,389.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,750.66 / $3,216.11 / $18,750.00	Professional		$1,750.66	$3,216.11	$18,750.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,001.00 / $3,918.63 / $5,096.35	Facility		$3,001.00	$3,918.63	$5,096.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,809.00 / $3,575.66 / $4,426.95	Professional		$2,809.00	$3,575.66	$4,426.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,075.86 / $2,787.64 / $3,178.22	Professional		$2,075.86	$2,787.64	$3,178.22
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 $1,750.66 / $3,252.18 / $4,440.38	Professional		$1,750.66	$3,252.18	$4,440.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,278.20 / $3,856.70 / $4,011.00	Professional		$3,278.20	$3,856.70	$4,011.00