Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.16 / $1,799.16 / $1,799.16	Facility		$1,799.16	$1,799.16	$1,799.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.41 / $1,799.16 / $1,799.16	Professional		$1,667.41	$1,799.16	$1,799.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,500.47 / $3,711.63 / $4,639.54	Professional		$3,500.47	$3,711.63	$4,639.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,817.92 / $4,629.88	Facility		$2,000.00	$2,817.92	$4,629.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,866.77 / $3,435.10 / $15,690.14	Professional		$1,866.77	$3,435.10	$15,690.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,137.00 / $4,192.83 / $5,443.58	Facility		$3,137.00	$4,192.83	$5,443.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,103.02 / $3,834.77 / $4,734.77	Professional		$3,103.02	$3,834.77	$4,734.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,180.10 / $2,897.42 / $3,408.52	Professional		$2,180.10	$2,897.42	$3,408.52
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 $1,866.77 / $3,046.66 / $4,739.25	Professional		$1,866.77	$3,046.66	$4,739.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,515.70 / $4,136.20 / $4,301.60	Professional		$3,515.70	$4,136.20	$4,301.60