Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,822.21 / $1,822.21 / $1,822.21	Facility		$1,822.21	$1,822.21	$1,822.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,688.88 / $1,822.21 / $2,666.57	Professional		$1,688.88	$1,822.21	$2,666.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,546.02 / $3,759.94 / $4,699.92	Professional		$3,546.02	$3,759.94	$4,699.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,079.53 / $4,706.12	Facility		$2,000.00	$3,079.53	$4,706.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,890.36 / $3,478.50 / $23,608.00	Professional		$1,890.36	$3,478.50	$23,608.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,224.00 / $4,246.32 / $5,511.39	Facility		$3,224.00	$4,246.32	$5,511.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,142.69 / $3,884.99 / $4,793.97	Professional		$3,142.69	$3,884.99	$4,793.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,254.14 / $3,028.78 / $3,453.15	Professional		$2,254.14	$3,028.78	$3,453.15
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 $1,890.36 / $3,541.12 / $4,799.82	Professional		$1,890.36	$3,541.12	$4,799.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,561.80 / $4,190.30 / $4,357.89	Professional		$3,561.80	$4,190.30	$4,357.89