Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.79 / $1,743.79 / $1,743.79	Facility		$1,743.79	$1,743.79	$1,743.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,615.36 / $1,743.79 / $1,743.79	Professional		$1,615.36	$1,743.79	$1,743.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,386.58 / $3,590.87 / $4,488.59	Professional		$3,386.58	$3,590.87	$4,488.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,766.25 / $4,528.52	Facility		$2,000.00	$2,766.25	$4,528.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,815.45 / $3,346.96 / $16,193.00	Professional		$1,815.45	$3,346.96	$16,193.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,768.00 / $3,858.60 / $5,295.51	Facility		$2,768.00	$3,858.60	$5,295.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,683.00 / $3,722.67 / $4,606.35	Professional		$2,683.00	$3,722.67	$4,606.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,157.59 / $2,902.25 / $3,308.89	Professional		$2,157.59	$2,902.25	$3,308.89
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 $1,815.45 / $2,996.25 / $4,609.70	Professional		$1,815.45	$2,996.25	$4,609.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,413.00 / $4,015.30 / $4,175.89	Professional		$3,413.00	$4,015.30	$4,175.89