Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.34 / $1,923.34 / $1,923.34	Facility		$1,923.34	$1,923.34	$1,923.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,781.73 / $1,923.34 / $2,805.26	Professional		$1,781.73	$1,923.34	$2,805.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,734.13 / $3,959.39 / $4,949.22	Professional		$3,734.13	$3,959.39	$4,949.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,196.01 / $5,010.91	Facility		$2,000.00	$3,196.01	$5,010.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,066.44 / $3,757.18 / $19,602.00	Professional		$2,066.44	$3,757.18	$19,602.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,330.00 / $4,278.53 / $5,847.17	Facility		$3,330.00	$4,278.53	$5,847.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,147.00 / $4,109.13 / $5,089.06	Professional		$3,147.00	$4,109.13	$5,089.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,388.55 / $3,203.54 / $3,652.40	Professional		$2,388.55	$3,203.54	$3,652.40
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 $2,066.44 / $3,748.84 / $5,091.88	Professional		$2,066.44	$3,748.84	$5,091.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,767.30 / $4,432.10 / $4,609.39	Professional		$3,767.30	$4,432.10	$4,609.39