Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,960.27 / $1,960.27 / $1,960.27	Facility		$1,960.27	$1,960.27	$1,960.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.71 / $1,815.01 / $1,960.27	Professional		$1,768.71	$1,815.01	$1,960.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,798.79 / $4,027.95 / $5,034.93	Professional		$3,798.79	$4,027.95	$5,034.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,312.86 / $5,131.79	Facility		$2,000.00	$3,312.86	$5,131.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,179.85 / $3,963.36 / $19,208.08	Professional		$2,179.85	$3,963.36	$19,208.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,112.00 / $4,375.55 / $5,976.47	Facility		$3,112.00	$4,375.55	$5,976.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,323.00 / $4,190.64 / $5,204.71	Professional		$3,323.00	$4,190.64	$5,204.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,461.19 / $3,166.32 / $3,724.85	Professional		$2,461.19	$3,166.32	$3,724.85
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 $2,179.85 / $3,590.64 / $5,202.96	Professional		$2,179.85	$3,590.64	$5,202.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,842.00 / $4,520.00 / $4,700.80	Professional		$3,842.00	$4,520.00	$4,700.80