Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,015.29 / $2,015.29 / $2,015.29	Facility		$2,015.29	$2,015.29	$2,015.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,867.20 / $2,015.29 / $2,015.29	Professional		$1,867.20	$2,015.29	$2,015.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,915.62 / $4,151.82 / $5,189.78	Professional		$3,915.62	$4,151.82	$5,189.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,405.84 / $5,266.41	Facility		$2,000.00	$3,405.84	$5,266.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,094.82 / $3,859.73 / $23,779.00	Professional		$2,094.82	$3,859.73	$23,779.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,380.00 / $4,516.29 / $6,113.10	Facility		$3,380.00	$4,516.29	$6,113.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,477.61 / $4,299.82 / $5,316.73	Professional		$3,477.61	$4,299.82	$5,316.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,508.32 / $3,352.20 / $3,821.89	Professional		$2,508.32	$3,352.20	$3,821.89
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 $2,094.82 / $3,808.76 / $5,319.36	Professional		$2,094.82	$3,808.76	$5,319.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,942.10 / $4,637.80 / $4,823.30	Professional		$3,942.10	$4,637.80	$4,823.30