Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.70 / $1,827.70 / $1,827.70	Facility		$1,827.70	$1,827.70	$1,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,635.14 / $1,798.65 / $2,666.44	Professional		$1,635.14	$1,798.65	$2,666.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.96 / $3,763.05 / $4,703.82	Professional		$3,548.96	$3,763.05	$4,703.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,088.81 / $4,756.92	Facility		$2,000.00	$3,088.81	$4,756.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,906.81 / $3,513.21 / $21,307.00	Professional		$1,906.81	$3,513.21	$21,307.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,948.00 / $4,044.91 / $5,554.14	Facility		$2,948.00	$4,044.91	$5,554.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,140.00 / $3,903.17 / $4,833.14	Professional		$3,140.00	$3,903.17	$4,833.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,255.33 / $3,042.97 / $3,469.32	Professional		$2,255.33	$3,042.97	$3,469.32
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 $1,906.81 / $3,466.92 / $4,836.41	Professional		$1,906.81	$3,466.92	$4,836.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,578.50 / $4,210.00 / $4,378.39	Professional		$3,578.50	$4,210.00	$4,378.39