Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.38 / $1,869.38 / $1,869.38	Facility		$1,869.38	$1,869.38	$1,869.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,732.29 / $1,869.38 / $2,736.64	Professional		$1,732.29	$1,869.38	$2,736.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,638.61 / $3,858.10 / $4,822.63	Professional		$3,638.61	$3,858.10	$4,822.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,159.25 / $4,822.82	Facility		$2,000.00	$3,159.25	$4,822.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,932.73 / $3,556.61 / $19,432.00	Professional		$1,932.73	$3,556.61	$19,432.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,258.00 / $4,351.78 / $5,646.96	Facility		$3,258.00	$4,351.78	$5,646.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,221.76 / $3,980.32 / $4,908.72	Professional		$3,221.76	$3,980.32	$4,908.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,293.38 / $3,103.11 / $3,537.90	Professional		$2,293.38	$3,103.11	$3,537.90
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 $1,932.73 / $3,628.34 / $4,912.29	Professional		$1,932.73	$3,628.34	$4,912.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,649.20 / $4,293.20 / $4,464.89	Professional		$3,649.20	$4,293.20	$4,464.89