Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.36 / $1,888.36 / $1,888.36	Facility		$1,888.36	$1,888.36	$1,888.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,748.13 / $1,888.36 / $1,888.36	Professional		$1,748.13	$1,888.36	$1,888.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,658.44 / $3,879.14 / $4,848.92	Professional		$3,658.44	$3,879.14	$4,848.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,954.34 / $4,934.59	Facility		$2,000.00	$2,954.34	$4,934.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,098.11 / $3,814.74 / $19,602.00	Professional		$2,098.11	$3,814.74	$19,602.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,151.00 / $4,213.42 / $5,755.41	Facility		$3,151.00	$4,213.42	$5,755.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,174.00 / $4,034.18 / $5,010.72	Professional		$3,174.00	$4,034.18	$5,010.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,352.08 / $3,145.10 / $3,585.77	Professional		$2,352.08	$3,145.10	$3,585.77
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 $2,098.11 / $3,814.74 / $5,010.93	Professional		$2,098.11	$3,814.74	$5,010.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,698.60 / $4,351.30 / $4,525.30	Professional		$3,698.60	$4,351.30	$4,525.30