Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,688.55 / $1,688.55 / $1,688.55	Facility		$1,688.55	$1,688.55	$1,688.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,559.27 / $1,688.55 / $1,688.55	Professional		$1,559.27	$1,688.55	$1,688.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,282.24 / $3,480.24 / $4,350.30	Professional		$3,282.24	$3,480.24	$4,350.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,853.65 / $4,391.89	Facility		$2,000.00	$2,853.65	$4,391.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,754.53 / $3,217.45 / $18,601.00	Professional		$1,754.53	$3,217.45	$18,601.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,956.00 / $3,868.76 / $5,101.56	Facility		$2,956.00	$3,868.76	$5,101.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,904.99 / $3,575.66 / $4,430.60	Professional		$2,904.99	$3,575.66	$4,430.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,087.10 / $2,787.64 / $3,178.22	Professional		$2,087.10	$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 $1,914.04 / $3,416.20 / $4,441.75	Professional		$1,914.04	$3,416.20	$4,441.75
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