Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.92 / $1,690.92 / $1,690.92	Facility		$1,690.92	$1,690.92	$1,690.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,567.49 / $1,690.92 / $1,690.92	Professional		$1,567.49	$1,690.92	$1,690.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,291.79 / $3,490.37 / $4,362.96	Professional		$3,291.79	$3,490.37	$4,362.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,649.06 / $4,394.60	Facility		$2,000.00	$2,649.06	$4,394.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,752.47 / $3,221.44 / $19,432.00	Professional		$1,752.47	$3,221.44	$19,432.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,923.00 / $3,934.14 / $5,108.85	Facility		$2,923.00	$3,934.14	$5,108.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,915.56 / $3,602.59 / $4,441.54	Professional		$2,915.56	$3,602.59	$4,441.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,069.80 / $2,808.63 / $3,202.16	Professional		$2,069.80	$2,808.63	$3,202.16
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 $2,120.30 / $4,167.83 / $4,448.43	Professional		$2,120.30	$4,167.83	$4,448.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,302.90 / $3,885.80 / $4,041.20	Professional		$3,302.90	$3,885.80	$4,041.20