Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.73 / $1,797.73 / $1,797.73	Facility		$1,797.73	$1,797.73	$1,797.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.96 / $1,797.73 / $1,797.73	Professional		$1,665.96	$1,797.73	$1,797.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,498.26 / $3,709.30 / $4,636.62	Professional		$3,498.26	$3,709.30	$4,636.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,038.16 / $4,680.18	Facility		$2,000.00	$3,038.16	$4,680.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,864.72 / $3,429.09 / $23,352.00	Professional		$1,864.72	$3,429.09	$23,352.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,120.00 / $4,188.18 / $5,436.30	Facility		$3,120.00	$4,188.18	$5,436.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,099.81 / $3,831.84 / $4,726.58	Professional		$3,099.81	$3,831.84	$4,726.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,228.51 / $2,987.36 / $3,405.93	Professional		$2,228.51	$2,987.36	$3,405.93
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 $2,034.24 / $3,492.52 / $4,732.70	Professional		$2,034.24	$3,492.52	$4,732.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,513.10 / $4,133.00 / $4,298.30	Professional		$3,513.10	$4,133.00	$4,298.30