Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,767.20 / $1,767.20 / $1,767.20	Facility		$1,767.20	$1,767.20	$1,767.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,637.37 / $1,767.20 / $1,767.20	Professional		$1,637.37	$1,767.20	$1,767.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,432.87 / $3,639.96 / $4,549.93	Professional		$3,432.87	$3,639.96	$4,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,986.57 / $4,637.35	Facility		$2,000.00	$2,986.57	$4,637.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,842.83 / $3,396.38 / $18,542.75	Professional		$1,842.83	$3,396.38	$18,542.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $4,126.14 / $5,367.47	Facility		$3,145.00	$4,126.14	$5,367.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,051.29 / $3,774.35 / $4,671.95	Professional		$3,051.29	$3,774.35	$4,671.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.42 / $2,942.54 / $3,354.82	Professional		$2,187.42	$2,942.54	$3,354.82
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 $1,560.50 / $3,006.11 / $4,676.17	Professional		$1,560.50	$3,006.11	$4,676.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,460.40 / $4,071.00 / $4,233.89	Professional		$3,460.40	$4,071.00	$4,233.89