Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,960.63 / $1,960.63 / $1,960.63	Facility		$1,960.63	$1,960.63	$1,960.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,816.16 / $1,960.63 / $1,960.63	Professional		$1,816.16	$1,960.63	$1,960.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,805.40 / $4,034.96 / $5,043.70	Professional		$3,805.40	$4,034.96	$5,043.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,069.31 / $5,105.39	Facility		$2,000.00	$3,069.31	$5,105.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,046.59 / $3,772.93 / $24,631.00	Professional		$2,046.59	$3,772.93	$24,631.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,418.00 / $4,579.39 / $5,961.89	Facility		$3,418.00	$4,579.39	$5,961.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,385.71 / $4,187.75 / $5,187.39	Professional		$3,385.71	$4,187.75	$5,187.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,387.14 / $3,164.12 / $3,722.26	Professional		$2,387.14	$3,164.12	$3,722.26
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 $2,046.59 / $3,721.08 / $5,191.82	Professional		$2,046.59	$3,721.08	$5,191.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,839.40 / $4,516.89 / $4,697.60	Professional		$3,839.40	$4,516.89	$4,697.60