Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.82 / $1,730.82 / $1,730.82	Facility		$1,730.82	$1,730.82	$1,730.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,603.04 / $1,730.82 / $2,523.92	Professional		$1,603.04	$1,730.82	$2,523.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,359.39 / $3,562.05 / $4,452.56	Professional		$3,359.39	$3,562.05	$4,452.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,674.23 / $2,709.14 / $4,510.43	Facility		$1,674.23	$2,709.14	$4,510.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,807.08 / $3,285.60 / $15,161.85	Professional		$1,807.08	$3,285.60	$15,161.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,105.00 / $3,841.95 / $5,262.14	Facility		$3,105.00	$3,841.95	$5,262.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,841.00 / $3,697.94 / $5,005.34	Professional		$2,841.00	$3,697.94	$5,005.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,072.08 / $2,882.96 / $3,286.90	Professional		$2,072.08	$2,882.96	$3,286.90
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 $1,807.08 / $3,285.60 / $4,584.16	Professional		$1,807.08	$3,285.60	$4,584.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,390.30 / $3,988.60 / $4,148.10	Professional		$3,390.30	$3,988.60	$4,148.10