Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,012.38 / $2,012.38 / $2,012.38	Facility		$2,012.38	$2,012.38	$2,012.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,864.37 / $2,012.38 / $2,012.38	Professional		$1,864.37	$2,012.38	$2,012.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,905.33 / $4,140.92 / $5,176.14	Professional		$3,905.33	$4,140.92	$5,176.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,150.79 / $5,245.88	Facility		$2,000.00	$3,150.79	$5,245.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,100.87 / $3,873.09 / $25,948.28	Professional		$2,100.87	$3,873.09	$25,948.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,602.00 / $4,701.66 / $6,119.34	Facility		$3,602.00	$4,701.66	$6,119.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,475.82 / $4,299.10 / $5,326.75	Professional		$3,475.82	$4,299.10	$5,326.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,518.27 / $3,351.63 / $3,821.24	Professional		$2,518.27	$3,351.63	$3,821.24
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 $2,100.87 / $3,819.76 / $5,329.32	Professional		$2,100.87	$3,819.76	$5,329.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,941.40 / $4,637.00 / $4,822.50	Professional		$3,941.40	$4,637.00	$4,822.50