Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,981.07 / $1,981.07 / $1,981.07	Facility		$1,981.07	$1,981.07	$1,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,834.97 / $1,981.07 / $1,981.07	Professional		$1,834.97	$1,981.07	$1,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,844.34 / $4,076.25 / $5,095.31	Professional		$3,844.34	$4,076.25	$5,095.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,915.35 / $3,101.10 / $5,205.77	Facility		$1,915.35	$3,101.10	$5,205.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,081.02 / $3,760.96 / $21,294.10	Professional		$2,081.02	$3,760.96	$21,294.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,760.00 / $4,381.93 / $6,023.39	Facility		$3,760.00	$4,381.93	$6,023.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,420.82 / $4,230.68 / $5,728.46	Professional		$3,420.82	$4,230.68	$5,728.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,436.53 / $3,298.30 / $3,760.43	Professional		$2,436.53	$3,298.30	$3,760.43
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 $2,081.02 / $3,760.96 / $5,246.33	Professional		$2,081.02	$3,760.96	$5,246.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,878.70 / $4,563.20 / $4,745.70	Professional		$3,878.70	$4,563.20	$4,745.70